Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 036117307 | IL |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 036117307 | IL |
NPI | 1689878480 |
---|---|
Provider Name | Alan H Chen |
First Address | Joliet, IL 60435-8346 |
Second Address | Joliet, IL 60435-8346 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 05/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
K40150 | (02) | IL |