CHARLES CHEN NPI 1154406114

NPI Information

  • NPI: 1154406114
  • Provider Name: CHARLES CHEN
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 411 HAMILTON BLVD
    SUITE 1824
    PEORIA, IL
    ZIP 61602
  • Phone: (309) 494-9320

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NPI Details

Charles Chen is a diagnostic radiology radiology in Peoria, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Charles Chen NPI is 1154406114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

411 HAMILTON BLVD
SUITE 1824
PEORIA, IL
ZIP 61602-144
Phone: (309) 494-9320

The enumeration date for this NPI number is 10/26/2006 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1L79524MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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