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NPI Code Detail

MEDICARE: QIUCHEN SHEN

MEDICARE: QIUCHEN SHEN
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
1101Y00000XCounselor178.022040IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1178022040OTHERILLICENSE

General Provider Information

NPI Number : 1346111622
Entity Type Code : Individual
Provider Name (Legal Business Name) : QIUCHEN SHEN
Provider Business Mailing Address
First Line : 1121 CHURCH ST APT 309
Second Line :
City : EVANSTON
State : IL
Zip : 60201-3634
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 N MICHIGAN AVE STE 424
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3844
Country : US
Telephone Number : 872-274-4344
Fax Number : 866-671-9991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2025
Last Update Date : 12/11/2025

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Directions to “ QIUCHEN SHEN ” Practice Location

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