MEDICARE: HEALTHFRONT LTD

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		IL

General Provider Information

NPI Number	:	1811082514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHFRONT LTD

Provider Business Mailing Address
First Line	:	3610 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5606
Country	:	US
Telephone Number	:	773-267-0055
Fax Number	:	773-267-1992

Provider Business Practice Location Address
First Line	:	3610 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5606
Country	:	US
Telephone Number	:	773-267-0055
Fax Number	:	773-267-1992

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANCISCO L CHU
Credential	:	MD
Telephone Number	:	773-267-0055

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	08/22/2020

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