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NPI Code Detail

MEDICARE: KIRK PATRICK CHIU MD, MS

MEDICARE: KIRK PATRICK CHIU MD, MS
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
1390200000XStudent in an Organized Health Care Education/Training Program125082486IL
2207Q00000XFamily Medicine Physician125.082486IL
3207Q00000XFamily Medicine Physician036177812IL

General Provider Information

NPI Number : 1235831348
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRK PATRICK CHIU MD, MS
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 172 E SCHILLER ST
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2816
Country : US
Telephone Number : 331-221-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2023
Last Update Date : 06/19/2026

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Directions to “ KIRK PATRICK CHIU MD, MS” Practice Location

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