Look up the most recent NPI and PECOS records

William Jason Chen

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as WILLIAM CHEN.

Based on the most recent information from CMS, provider William Jason Chen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1770286452
Provider Type
Individual
Full Name
Chen, William Jason
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/23/2023
Last Updated
4/12/2024

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 783-9100

Unlisted Fax

Mailing Location

2160 S 1st Ave, Maywood, IL 60153-3328

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 125.082923 Illinois

William Jason Chen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Mcdonald, Virginia

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Worrell, Stewart S

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Oraham, Aaron Walton

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