Chung Kuang Chen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036051139 Issued in IL

Practice address

3624 W Division St
Chicago, IL 60651-2216

Phone

(630) 747-6353

Fax

(773) 486-1057

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213488000000",
    "number": "1316958002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 TIMBER TRAIL DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231456",
            "telephone_number": "630-747-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512216",
            "telephone_number": "630-747-6353",
            "fax_number": "773-486-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHUNG",
        "middle_name": "KUANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036051139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051139",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "002201201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Y Chen, MS, OTR/L
• Chih-Hsuan Chen, M.D.
• Chong Chen, MD
• Christina Chen, M.D.
• Chun Tong Chen, M.D.
• Cory Y Chen, MD
• Cynthia Chen, DDS
• Dafeng Chen
• Daniel Chen
• David Chen, MD

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.