MEDICARE: DR. DAVID YING FOONG CHIOU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036098964	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01420000	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	036-098964	OTHER	IL	LICENSES

General Provider Information

NPI Number	:	1093779084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID YING FOONG CHIOU M.D.

Provider Business Mailing Address
First Line	:	157 N SEYMOUR AVE
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-2304
Country	:	US
Telephone Number	:	847-566-0300
Fax Number	:	847-566-2818

Provider Business Practice Location Address
First Line	:	157 N SEYMOUR AVE
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-2304
Country	:	US
Telephone Number	:	847-566-0300
Fax Number	:	847-566-2818

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	05/26/2015

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Directions to “ DR. DAVID YING FOONG CHIOU M.D.” Practice Location

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