Individual provider Active NPI

Joyce Chen, M.D.

  • Family Medicine Physician
  • Burbank, IL
National Provider Identifier
1376705772
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036127328 Issued in IL
Practice address
4901 W 79TH St
Suite 10
Burbank, IL 60459-1554
Phone
(708) 422-7100
Fax
(708) 229-6088
NPI assigned
Jun 26, 2008
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036127328 IL Primary

Addresses

Primary practice location

4901 W 79TH St
Suite 10
Burbank, IL 60459-1554

Mailing address

4901 W 79TH St
Suite 10
Burbank, IL 60459-1554
Phone (708) 422-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110727000297 IL Practitioner - Family Practice 6608044128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1411 S Michigan Ave
Chicago, IL 60605-2810

1645 W Jackson Blvd
Chicago, IL 60612-2847

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036127328ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Company of Mary Affiliated Services Inc Current Accepting new patients
Rush University Medical Group Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Little Company of Mary Affiliated Services Inc CurrentSince Aug 16, 2011 Accepting new patients
Ottawa Regional Medical Center Inc. Family Medicine Past Accepting new patients
Saint Anthony Medical Center Family Medicine Past Accepting new patients

Locations

4901 W 79th St
Burbank, IL 60459
Phone (708) 425-9321

4901 W 79th St
Ste 10
Burbank, IL 60459
Phone (708) 422-7100

1411 S Michigan Ave
Chicago, IL 60605
Phone (312) 454-2700

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

2850 W 95th St
Ste 101
Evergreen Pk, IL 60805
Phone (708) 425-9550

5660 W 95th St
Oak Lawn, IL 60453
Phone (708) 499-2273

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207

Interoperability endpoints

  • Direct secure messaging: jchen144536@direct.rush.rush-health.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1376705772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 W 79TH ST",
            "address_2": "SUITE 10",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591554",
            "telephone_number": "708-422-7100",
            "fax_number": "708-229-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W 79TH ST",
            "address_2": "SUITE 10",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591554",
            "telephone_number": "708-422-7100",
            "fax_number": "708-229-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JOYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036127328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

Verify at the official NPI Registry.