Individual
JASON TSAI CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8012 S CRANDON AVE STE 100, CHICAGO, IL 60617-1124
(773) 356-5415
(773) 768-6141
Mailing address
1000 VILLAGE CENTER DR UNIT 204, BURR RIDGE, IL 60527-4540
(714) 450-0198
(773) 768-6141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036126956
IL
207R00000X
Internal Medicine Physician
A76587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.126956
ILLINOIS MEDICAL LICENSE NUMBER
IL
01
—
A76587
LICENSE NUMBER
CA
Enumeration date
06/07/2006
Last updated
05/15/2026
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