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General NPI Number Information
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NPI Number | 1285825273
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Entity Type | Individual
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Provider Name | HUBERT JOHN YU SAM CHUA DPT
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Gender | Male
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 980 MILWAUKEE AVE STE 500
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City | BURLINGTON
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State | WI
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Zip | 53105-1315
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Country | US
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Telephone | 262-757-7752
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 FEEHANVILLE DR STE 450
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-6023
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Country | US
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Telephone | 847-390-7666
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Fax | 224-220-9345
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070021174
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 16160-24
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License Number State | WI
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