Individual
CHIJEN LEE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8514
Mailing address
6707 YELLOWSTONE BLVD APT 2E, FOREST HILLS, NY 11375-2317
(347) 502-8156
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
83525-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912589946
—
WI
Enumeration date
04/28/2021
Last updated
08/21/2024
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