Jackson W. Chen, M.D.

General Practice Physician · Oak Brook, IL

Individual Active NPI

NPI number 1316113954

Practice location

209 Indian Trail Rd
Oak Brook, IL 60523-2797
Phone
(760) 717-1412
Fax
(760) 918-0960

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NPI record

NPI
1316113954
Entity type
Individual (Type 1)
Enumeration date
May 4, 2008
Last updated
May 6, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 036-047434 IL
General Practice Physician 208D00000X C50725 CA

About Dr. Chen

Jackson W. Chen, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 209 Indian Trail Rd, Oak Brook, IL 60523-2797. The NPI number 1316113954 was assigned on May 4, 2008 and the record was last updated on May 6, 2008.

Dr. Chen lists 2 licenses in the registry: #036-047434 (IL) for General Practice Physician; #C50725 (CA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackson W. Chen, M.D.?

The NPI number is 1316113954.

What is the phone number of Dr. Chen?

The phone number listed for the practice location is (760) 717-1412.

Where is Dr. Chen located?

209 Indian Trail Rd, Oak Brook, IL 60523-2797.

What is the taxonomy code for Dr. Chen?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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