Active NPI
Rosemary Chen, MD
- Dermatology Physician
- Hinsdale, IL
National Provider Identifier
1790769321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 36067339
- Practice address
- 40 S Clay St
Suite 130E
Hinsdale, IL 60521 - Phone
- (630) 654-3376
- Fax
- (630) 655-3872
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 36067339 | IL | Primary |
Addresses
Primary practice location
40 S Clay St
Suite 130E
Hinsdale, IL 60521
Mailing address
40 S Clay St
Suite 130E
Hinsdale, IL 60521
Phone (630) 654-3376
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 |
|---|---|---|---|
| 36067339 | IL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1790769321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 S CLAY ST",
"address_2": "SUITE 130E",
"city": "HINSDALE",
"state": "IL",
"postal_code": "60521",
"telephone_number": "630-654-3376",
"fax_number": "630-655-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 S CLAY ST",
"address_2": "SUITE 130E",
"city": "HINSDALE",
"state": "IL",
"postal_code": "60521",
"telephone_number": "630-654-3376",
"fax_number": "630-655-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ROSEMARY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "36067339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.