Provider Demographics
NPI:1003385717
Name:CHEN, FENGLAN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:FENGLAN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 DOGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2236
Mailing Address - Country:US
Mailing Address - Phone:847-477-9789
Mailing Address - Fax:
Practice Address - Street 1:902 W ROUTE 22
Practice Address - Street 2:
Practice Address - City:FOX RIVER GROVE
Practice Address - State:IL
Practice Address - Zip Code:60021
Practice Address - Country:US
Practice Address - Phone:847-477-9789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-26
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty