Individual
CORY Y CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4833 N MILWAUKEE AVE, CHICAGO, IL 60630-2145
(773) 205-2857
Mailing address
4833 N MILWAUKEE AVE, CHICAGO, IL 60630-2145
(773) 205-2857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036095449
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095449
—
IL
Enumeration date
05/27/2005
Last updated
03/12/2021
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