Chen, Jacqueline Barbara

Chen, Jacqueline Barbara is an individual health care provider with primary practice located at 425 Huelh Rd, Unit 13 , Northbrook IL 60062-2319. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Chen, Jacqueline Barbara can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
425 Huelh Rd, Unit 13 Northbrook IL 60062-2319
Fax: (847) 504-5015
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 271 Oregon

Profile Details

NPI number 1245212836
LBN Legal business name Chen, Jacqueline Barbara
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Feb 25th, 2016 - about 8 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 1245212836 NPPES
Missouri Other P01582259 RAILROAD MEDICARE

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