MEDICARE: BELINDA CHEN MD

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	208000000X	Pediatrics Physician	036102615	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	021622158	OTHER	IL	GROUP BLUE SHIELD #

General Provider Information

NPI Number	:	1932127701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA CHEN MD

Provider Business Mailing Address
First Line	:	49 S WAUKEGAN RD STE 100
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5204
Country	:	US
Telephone Number	:	847-945-4575
Fax Number	:	847-945-4593

Provider Business Practice Location Address
First Line	:	49 S WAUKEGAN RD STE 100
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5204
Country	:	US
Telephone Number	:	847-945-4575
Fax Number	:	847-945-4593

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	12/08/2020

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Directions to “ BELINDA CHEN MD” Practice Location

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