MEDICARE: STEPHANIE CHEN M.D.

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	207V00000X	Obstetrics & Gynecology Physician	MD462154	PA
2	207V00000X	Obstetrics & Gynecology Physician	036159048	IL
3	207VC0300X	Complex Family Planning Physician	036159048	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184966574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE CHEN M.D.

Provider Business Mailing Address
First Line	:	820 S WOOD ST # MC808
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4325
Country	:	US
Telephone Number	:	312-996-7006
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 W TAYLOR ST # MC650
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4795
Country	:	US
Telephone Number	:	312-413-7500
Fax Number	:	312-413-3856

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

Provider Enumeration Date	:	03/23/2013
Last Update Date	:	04/13/2026

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