Organization Name: | JAI S CHEN MDSC |
NPI Number: | 1033481569 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAI SHONG CHEN (PRESIDENT) |
Mailing Address: | 541 Devon Dr Burr Ridge |
State: | IL US |
Postal Code: | 605278314 |
Phone Number: | 6306542290 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2012 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0802X |
License Number: | 036054340 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Psychiatry |
Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |