Healthcare Provider Details

I. General information

NPI: 1811082514
Provider Name (Legal Business Name): HEALTHFRONT LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 W LAWRENCE AVE
CHICAGO IL
60625-5606
US

IV. Provider business mailing address

3610 W LAWRENCE AVE
CHICAGO IL
60625-5606
US

V. Phone/Fax

Practice location:
  • Phone: 773-267-0055
  • Fax: 773-267-1992
Mailing address:
  • Phone: 773-267-0055
  • Fax: 773-267-1992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: FRANCISCO L CHU
Title or Position: PRESIDENT
Credential: MD
Phone: 773-267-0055