Basic Information
Provider Information
NPI: 1295993517
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEN
FirstName: DARWIN
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 25 N WINFIELD ROAD
Address2:  
City: WINFIELD
State: IL
PostalCode: 60190
CountryCode: US
TelephoneNumber: 6306825653
FaxNumber: 6306828946
Practice Location
Address1: 25 N WINFIELD ROAD
Address2: MIDWEST ORTHOPAEDICS AT RUSH
City: WINFIELD
State: IL
PostalCode: 60190
CountryCode: US
TelephoneNumber: 6306825653
FaxNumber: 6306828946
Other Information
ProviderEnumerationDate: 05/23/2008
LastUpdateDate: 08/12/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X248092NYN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XS0114X036.128684ILY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery

No ID Information.


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