Richard C L Chen MD LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-53838 Issued in IL

Legal business name

RICHARD C L CHEN MD LTD

Practice address

415 West Main Street
Suite 4
Collinsville, IL 62234

Phone

(618) 345-1112

Fax

(618) 345-1113

NPI assigned

Feb 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Chau Liang Chen, M.D.

Title

President

Phone

(618) 345-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1659678290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WEST MAIN ST.",
            "address_2": "SUITE 4",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "62234",
            "telephone_number": "618-345-1112",
            "fax_number": "618-345-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WEST MAIN STREET",
            "address_2": "SUITE 4",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "62234",
            "telephone_number": "618-345-1112",
            "fax_number": "618-345-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C L CHEN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHAU",
        "authorized_official_middle_name": "LIANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-345-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-53838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053838",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Residential Options, Inc
• Elizabeth Anne Jacklyn Rexford, DPT
• Christine E Reyling
• Brionne Rhodes, LCPC
• Sara Nicole Rhymer, PHARM D
• Britton Gregory Robertson
• Aaron Rodriguez Zamora
• Ronald Weems Jr. P.C.
• Ronald Weems Jr. P.C.
• Root and Rise Therapy Services PLLC

• Internal Medicine Physician in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.