Chen, Alice

Chen, Alice is an individual health care provider with primary practice located at 4711 Golf Rd Suite 808, Skokie IL 60076-1224. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Chen, Alice can be contacted via phone (847) 568-1870.

Contact Information

Primary practice address
4711 Golf Rd Suite 808 Skokie IL 60076-1224
Fax: (847) 568-1875
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 0036-086420 Illinois

Profile Details

NPI number 1497752893
LBN Legal business name Chen, Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 8th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497752893 NPPES
Illinois Other 14D0937849 CLIA ID
Illinois MEDICAID 036086420 CLIA ID
Illinois Other 1621458 CLIA ID

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