Healthcare Provider Details

I. General information

NPI: 1093974792
Provider Name (Legal Business Name): LINDA CHEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 S MAPLE AVE STE 5500
OAK PARK IL
60304-2808
US

IV. Provider business mailing address

610 S MAPLE AVE STE 5500
OAK PARK IL
60304-2808
US

V. Phone/Fax

Practice location:
  • Phone: 708-660-5777
  • Fax: 312-942-8183
Mailing address:
  • Phone: 708-660-5777
  • Fax: 312-942-8183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036124155
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: