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NPI Code Detail

MEDICARE: MICHAEL YANGYANG CHEN

MEDICARE:   MICHAEL YANGYANG CHEN
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
1207R00000XInternal Medicine Physician036.160120IL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1861954695
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL YANGYANG CHEN
Provider Business Mailing Address
First Line : PO BOX 746715
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6715
Country : US
Telephone Number : 773-352-1515
Fax Number : 312-929-0373
Provider Business Practice Location Address
First Line : 2335 S WENTWORTH AVE STE B
Second Line :
City : CHICAGO
State : IL
Zip : 60616-0117
Country : US
Telephone Number : 312-566-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2019
Last Update Date : 06/05/2025

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Directions to “ MICHAEL YANGYANG CHEN ” Practice Location

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