Provider Demographics
NPI:1336214683
Name:CHEN, CAROLINE ROSE (MS OTRL)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ROSE
Last Name:CHEN
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 BILTMORE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-2004
Mailing Address - Country:US
Mailing Address - Phone:847-224-7767
Mailing Address - Fax:
Practice Address - Street 1:242 BILTMORE DR
Practice Address - Street 2:
Practice Address - City:NORTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2004
Practice Address - Country:US
Practice Address - Phone:847-224-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056007636225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist