Organization
ALAN CHEN SURGICAL ASSOCIATES, PC
Active
Other names
Alan Chen Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY CLAY GORDON JR. (BILLER)
(815) 729-9527
Entity
Organization
Contact information
Practice address
823 N 129TH INFANTRY DR, STE 103, JOLIET, IL 60435-8346
(815) 729-9527
(815) 729-9530
Mailing address
823 N 129TH INFANTRY DR, STE 103, JOLIET, IL 60435-8346
(815) 729-9527
(815) 729-9530
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036117307
IL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
036117307
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689878480
—
IL
Enumeration date
07/10/2010
Last updated
05/04/2022
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