MEDICARE: IAN CHEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		TX

General Provider Information

NPI Number	:	1851225874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IAN CHEN

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4015 LEMMON AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-3737
Country	:	US
Telephone Number	:	972-979-6577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “ IAN CHEN ” Practice Location

Language	Start Address	Practice Location

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