Provider Demographics
NPI:1588005508
Name:CHEN, MEI-WHEI (PHD)
Entity Type:Individual
Prefix:
First Name:MEI-WHEI
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6677 N LINCOLN AVE
Mailing Address - Street 2:SUITE 234B
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3619
Mailing Address - Country:US
Mailing Address - Phone:847-915-0331
Mailing Address - Fax:
Practice Address - Street 1:6677 N LINCOLN AVE
Practice Address - Street 2:SUITE 234B
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-3619
Practice Address - Country:US
Practice Address - Phone:847-915-0331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2014-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008596103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF300156920OtherNATIONAL GOVERNMENT SERVICES, INC