Chen, Xueguang

Chen, Xueguang is an individual health care provider with primary practice located at 3401 Conifer Dr , Springfield IL 62711-8300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Chen, Xueguang can be contacted via phone (217) 726-0967.

Contact Information

Primary practice address
3401 Conifer Dr Springfield IL 62711-8300
Phone: (217) 726-0967
Fax: (217) 726-7633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036-120705 Illinois

Profile Details

NPI number 1730243015
LBN Legal business name Chen, Xueguang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730243015 NPPES
Other 0-618-442-8 ECFMG
MEDICAID 036-120705 ECFMG
Other 036-12705 ECFMG

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