Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 248092 | NY |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036.128684 | IL |
NPI | 1295993517 |
---|---|
Provider Name | Dr. Darwin D Chen |
First Address | Winfield, IL 60190 |
Second Address | Winfield, IL 60190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 12/08/2011 |