Chen, Bai Fan

Chen, Bai Fan is an individual health care provider with primary practice located at 2320 High St , Blue Island IL 60406-2426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chen, Bai Fan can be contacted via phone (708) 388-5500.

Contact Information

Primary practice address
2320 High St Blue Island IL 60406-2426
Phone: (708) 388-5500
Fax: (708) 388-5672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036047813 Illinois

Profile Details

NPI number 1821087727
LBN Legal business name Chen, Bai Fan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated May 20th, 2008 - about 17 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 1821087727 NPPES
Illinois MEDICAID 036047813

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