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NPI Code Detail

MEDICARE: ZACHARY CHEN DO

MEDICARE: ZACHARY CHEN DO
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
1207L00000XAnesthesiology Physician036168879IL
2207L00000XAnesthesiology Physician20A24069CA
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1235759366
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY CHEN DO
Provider Business Mailing Address
First Line : 150 HARVESTER DR STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-5965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8700 BEVERLY BLVD STE SB290
Second Line :
City : W HOLLYWOOD
State : CA
Zip : 90048-1804
Country : US
Telephone Number : 310-423-5841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2020
Last Update Date : 12/10/2025

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