Active NPI
Shin S Chen MD LLC
- Family Medicine Physician
- Belvidere, IL
National Provider Identifier
1912101643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- South Elgin, IL
- NPI 1548013360
-
- Primary Care Nurse Practitioner
- Belvidere, IL
- NPI 1699277038
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.