Provider Demographics
NPI:1689878480
Name:CHEN, ALAN H (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:H
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:823 129TH INFANTRY DR
Mailing Address - Street 2:ROOM 103
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-8346
Mailing Address - Country:US
Mailing Address - Phone:815-729-9527
Mailing Address - Fax:815-729-9530
Practice Address - Street 1:823 129TH INFANTRY DR
Practice Address - Street 2:ROOM 103
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8346
Practice Address - Country:US
Practice Address - Phone:815-729-9527
Practice Address - Fax:815-729-9530
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2022-05-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0361173072086S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK40150Medicare UPIN