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Individual

CHONG CHEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12251 S HALSTED ST, CHICAGO, IL 60628-6427
(773) 928-6777
(773) 928-1280
Mailing address
12251 S HALSTED ST, CHICAGO, IL 60628-6427
(773) 928-6777
(773) 928-1280

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Enumeration date
06/09/2006
Last updated
07/08/2007
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