Joell Chen, DMD
Dentist, General Practice in Chicago, IL. Individual provider (NPI-1).
NPI number1164090759
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1164090759
- Entity type
- Individual (NPI-1)
- Name
- Joell Chen
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- Jun 11, 2021
- Last updated
- Jun 11, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019033088 | IL | Yes |
Practice location
820 S Damen AveChicago, IL 60612-3728
Phone 312-569-6661
Mailing address
165 N Desplaines St Apt 414Chicago, IL 60661-1446
Phone 512-850-7957
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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