Individual
KEVIN CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1355 S HALSTED ST UNIT 304, CHICAGO, IL 60607-5010
(630) 445-3891
Mailing address
621 SARA LN, NAPERVILLE, IL 60565-1611
(630) 445-3891
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209022454
IL
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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