| Richard C L Chen Md Ltd | |
|
415 West Main Street Suite 4 Collinsville IL 62234 | |
| (618) 345-1112 | |
| (618) 345-1113 |
| Full Name | Richard C L Chen Md Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 415 West Main Street, Collinsville, Illinois |
| Authorized Official Name and Position | Chau Liang Chen (PRESIDENT) |
| Authorized Official Contact | 6183451112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C L Chen Md Ltd 415 West Main St. Suite 4 Collinsville IL 62234 Ph: (618) 345-1112 | Richard C L Chen Md Ltd 415 West Main Street Suite 4 Collinsville IL 62234 Ph: (618) 345-1112 |
| NPI Number | 1659678290 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659678290 | NPI | - | NPPES |
| 036053838 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-53838 (Illinois) | Primary |
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