Active NPI
Tao Chen, M.D.
- Gynecology Physician
- Woodstock, IL
National Provider Identifier
1114975232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 036049286
- Practice address
- 3703 Doty Rd
Suite 1
Woodstock, IL 60098-7517 - Phone
- (815) 338-6600
- Fax
- (815) 206-2823
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036049286 | IL | Primary |
Addresses
Primary practice location
3703 Doty Rd
Suite 1
Woodstock, IL 60098-7517
Mailing address
13707 W Jackson St
Woodstock, IL 60098-3188
Phone (815) 337-1871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160030419 | Other | IL | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036049286 | IL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centegra Primary Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Woodstock, IL
- NPI 1700905205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1114975232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13707 W JACKSON ST",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600983188",
"telephone_number": "815-337-1871",
"fax_number": "815-338-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 DOTY RD",
"address_2": "SUITE 1",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600987517",
"telephone_number": "815-338-6600",
"fax_number": "815-206-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "TAO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036049286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "160030419",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.