Provider Demographics
NPI:1669200135
Name:CHEN, EMILY (DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:CHEN
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 BUTTONWOOD CIR APT 3315
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-6172
Mailing Address - Country:US
Mailing Address - Phone:248-719-5368
Mailing Address - Fax:
Practice Address - Street 1:4368 W TOUHY AVE
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1927
Practice Address - Country:US
Practice Address - Phone:847-610-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.035332122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist