Chen, Cory Y
Chen, Cory Y is an individual health care provider with primary practice located at 4833 N Milwaukee Ave , Chicago IL 60630-2145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chen, Cory Y can be contacted via phone (773) 205-2857.Contact Information
Primary practice address
4833 N Milwaukee Ave
Chicago IL 60630-2145
Phone: (773) 205-2857
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036095449 | Illinois |
Profile Details
| NPI number | 1851394548 |
|---|---|
| LBN Legal business name | Chen, Cory Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Mar 12th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851394548 | NPPES |
| Illinois | MEDICAID | 036095449 |
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