Chen, Alice
Chen, Alice is an individual health care provider with primary practice located at 4711 Golf Rd Suite 808, Skokie IL 60076-1224. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Chen, Alice can be contacted via phone (847) 568-1870.Contact Information
Primary practice address
4711 Golf Rd Suite 808
Skokie IL 60076-1224
Phone: (847) 568-1870
Fax: (847) 568-1875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 0036-086420 | Illinois |
Profile Details
| NPI number | 1497752893 |
|---|---|
| LBN Legal business name | Chen, Alice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Oct 8th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497752893 | NPPES |
| Illinois | Other | 14D0937849 | CLIA ID |
| Illinois | MEDICAID | 036086420 | CLIA ID |
| Illinois | Other | 1621458 | CLIA ID |
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