Organization Active NPI

Shin S Chen MD LLC

  • Family Medicine Physician
  • Belvidere, IL
National Provider Identifier
1912101643
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHIN S CHEN MD LLC
Practice address
303 Andrews Dr
Belvidere, IL 61008-3918
Phone
(815) 547-1110
Fax
(815) 544-1594
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Shin Chen, MD
Title
President
Phone
(815) 547-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

303 Andrews Dr
Belvidere, IL 61008-3918

Mailing address

303 Andrews Dr
Belvidere, IL 61008-3918
Phone (815) 547-1110

National Provider Directory

National Provider Directory

Locations

303 Andrews Dr
Ste 201
Belvidere, IL 61008
Phone (815) 547-1110

1004 Logan Ave
Belvidere, IL 61008
Phone (815) 482-6365

310 Arnold Ave
Rockford, IL 61108
Phone (815) 398-7954

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1912101643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ANDREWS DR",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083918",
            "telephone_number": "815-547-1110",
            "fax_number": "815-544-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ANDREWS DR",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083918",
            "telephone_number": "815-547-1110",
            "fax_number": "815-544-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN S CHEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "SHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-547-1110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.