Individual
MR. KEVIN C CHEN
Active
Individual
MR. KEVIN C CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036108368
IL
207R00000X
Internal Medicine Physician
36108368
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635188
BCBS
IL
01
—
036108368
ILLINOIS LICENSE
IL
05
—
036108368
—
IL
01
—
104897
HEALTH ALLIANCE
IL
Enumeration date
08/11/2006
Last updated
08/13/2024
Update your record
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