Provider Demographics
NPI:1114934882
Name:CHEN, RAYMOND C (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:C
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 E OAKTON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4871
Mailing Address - Country:US
Mailing Address - Phone:847-357-0818
Mailing Address - Fax:847-357-0818
Practice Address - Street 1:2407 E OAKTON ST
Practice Address - Street 2:SUITE A
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4871
Practice Address - Country:US
Practice Address - Phone:847-357-0818
Practice Address - Fax:847-357-0818
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360785701208D00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Not Answered208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine