VICTOR SHI CHEN

MAYWOOD, IL
NPI1568922425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: IL  125.073714)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-25
Last Update Date2019-06-01
Business Address
VICTOR SHI CHEN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-8467
Mailing Address
VICTOR SHI CHEN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: