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JACKSON W CHEN M.D.
NPI 1316113954
General Practice in Oak Brook, IL

Active since May 04, 2008
209 INDIAN TRAIL RD, OAK BROOK, IL 60523(760) 717-1412(760) 918-0960 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jackson W Chen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON W CHEN M.D. (NPI 1316113954) is an individual general practice provider in Oak Brook, Illinois, licensed in Illinois (036-047434) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1316113954
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJACKSON W CHENCredential: M.D.
Location Address209 INDIAN TRAIL RDOak Brook, IL 60523-2797
Mailing Address209 Indian Trail RdOak Brook, IL 60523-2797 · (760) 717-1412 · Fax (760) 918-0960
Phone(760) 717-1412
Fax(760) 918-0960
Sole ProprietorYes
Enumeration DateMay 4, 2008
Last NPPES UpdateMay 6, 2008
✔ NPI 1316113954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in IL · 036-047434✔ Licensed in CA · C50725
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
209 INDIAN TRAIL RD, Oak Brook, IL 60523
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Other Identifiers 3

Medicare PIN245-850IL
Other0021606157IL · Blue Cross Blue Shield Of Illinois
Medicare UPIND10209IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Chen's NPI number?

The NPI number for Jackson Chen is 1316113954. It was assigned to this individual provider in the NPPES registry on May 4, 2008.

Where is Jackson Chen located?

Jackson Chen practices at 209 Indian Trail Rd, Oak Brook, IL 60523. The listed phone number is (760) 717-1412.

What is Jackson Chen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jackson Chen was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.