Healthcare Provider Details

I. General information

NPI: 1639229750
Provider Name (Legal Business Name): JUDY LING CHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 WAUKEGAN RD STE 700
LAKE BLUFF IL
60044-1614
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 847-504-3300
  • Fax: 847-504-3305
Mailing address:
  • Phone: 847-270-2040
  • Fax: 847-270-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number036121108
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number036121108
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: