Chun Tong Chen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036046857 Issued in IL

Practice address

11416 S Michigan Ave
Chicago, IL 60628-4932

Phone

(773) 821-1414

Fax

(773) 821-1817

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1740361898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "847-699-0800",
            "fax_number": "847-296-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284932",
            "telephone_number": "773-821-1414",
            "fax_number": "773-821-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHUN",
        "middle_name": "TONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036046857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "200401",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046857",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.