Provider Demographics
NPI:1770920464
Name:CHEN, MONICA (MOT)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CHEN
Suffix:
Gender:
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 IROQUOIS LN
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-5028
Mailing Address - Country:US
Mailing Address - Phone:630-674-3888
Mailing Address - Fax:
Practice Address - Street 1:1209 IROQUOIS LN
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-5028
Practice Address - Country:US
Practice Address - Phone:630-674-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056010143174400000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No174400000XOther Service ProvidersSpecialist