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Cheng Tai Chen, MD

General Practice in Westmont, IL. Individual provider (NPI-1).

NPI number1851472336
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1851472336
Entity type
Individual (NPI-1)
Name
Cheng Tai Chen
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 18, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice036067321ILYes

Practice location

411 N Cass Ave
Westmont, IL 60559

Phone 630-810-9338 · Fax 630-810-9823

Mailing address

411 N Cass Ave
Westmont, IL 60559

Phone 630-810-9338 · Fax 630-810-9823

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