Provider Demographics
NPI:1396760781
Name:CHEN, KEVIN SHIH-YIN (MD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:SHIH-YIN
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3755 TIMBERS EDGE LN
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-1442
Mailing Address - Country:US
Mailing Address - Phone:847-299-4495
Mailing Address - Fax:
Practice Address - Street 1:800 WEST CENTRAL ROAD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005
Practice Address - Country:US
Practice Address - Phone:847-255-8662
Practice Address - Fax:847-255-8084
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-086328207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36086328Medicaid
IL1615648OtherBCBS NUMBER
IL604600OtherMEDICARE GRP #
IL1615648OtherBCBS NUMBER
IL604600OtherMEDICARE GRP #