MEDICARE: MAC MEDICAL SERVICES CORP

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	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	036117307	IL
2	2084N0400X	Neurology Physician	036074277	IL

General Provider Information

NPI Number	:	1619118536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAC MEDICAL SERVICES CORP

Provider Business Mailing Address
First Line	:	2314 S ROUTE 59
Second Line	:	#180
City	:	PLAINFIELD
State	:	IL
Zip	:	60586-7756
Country	:	US
Telephone Number	:	815-685-2308
Fax Number	:	815-439-7082

Provider Business Practice Location Address
First Line	:	2314 S ROUTE 59
Second Line	:	#180
City	:	PLAINFIELD
State	:	IL
Zip	:	60586-7756
Country	:	US
Telephone Number	:	815-685-2308
Fax Number	:	815-439-7082

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN HSAIO-FENG CHEN
Credential	:	M.D.
Telephone Number	:	909-418-7772

Provider Enumeration Date	:	03/23/2009
Last Update Date	:	03/23/2009

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Directions to “MAC MEDICAL SERVICES CORP ” Practice Location

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