Provider Demographics
NPI:1104349562
Name:CHEN, SHIH-HUA (MS, ATC, PA-C)
Entity type:Individual
Prefix:
First Name:SHIH-HUA
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MS, ATC, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6275 RIVERTON DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-1881
Mailing Address - Country:US
Mailing Address - Phone:248-709-5831
Mailing Address - Fax:
Practice Address - Street 1:10719 160TH ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5541
Practice Address - Country:US
Practice Address - Phone:708-226-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant