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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1730243015 | NPPES |
| Other | 0-618-442-8 | ECFMG | |
| MEDICAID | 036-120705 | ECFMG | |
| Other | 036-12705 | ECFMG |
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