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1972543239 NPI number — JASON TSAI CHEN MD

NPI Number: 1972543239
Health Care Provider/Practitioner: JASON TSAI CHEN MD

Information about “1972543239” NPI (JASON TSAI CHEN MD) exists in 1972543239 in HTML format HTML  |  1972543239 in plain Text format TXT  |  1972543239 in PDF (Portable Document Format) PDF  |  1972543239 in an XML format XML  formats.

NPI Number : 1972543239 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972543239",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHEN",
    "FirstName": "JASON",
    "MiddleName": "TSAI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1000 VILLAGE CENTER DR UNIT 204",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURR RIDGE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60527-4540",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": "773-768-6141",
    "FirstLinePracticeLocationAddress": "8012 S CRANDON AVE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60617-1124",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-356-5415",
    "PracticeLocationAddressFaxNumber": "773-768-6141",
    "EnumerationDate": "06/07/2006",
    "LastUpdateDate": "07/24/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "A76587",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "036126956",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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