Healthcare Provider Details

I. General information

NPI: 1558730317
Provider Name (Legal Business Name): HOWARD CHIU DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: TZU-HAO CHIU

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 RIDGEMOOR DR
WILLOWBROOK IL
60527-5416
US

IV. Provider business mailing address

309 RIDGEMOOR DR
WILLOWBROOK IL
60527-5416
US

V. Phone/Fax

Practice location:
  • Phone: 312-315-6789
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number070021810
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070021810
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: