MEDICARE: DR. DAVID C CHUA MD

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	207RG0100X	Gastroenterology Physician	036069933	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346241585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID C CHUA MD

Provider Business Mailing Address
First Line	:	1S280 SUMMIT AVE
Second Line	:	COURT A
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-3984
Country	:	US
Telephone Number	:	630-889-9889
Fax Number	:	630-889-8977

Provider Business Practice Location Address
First Line	:	1S280 SUMMIT AVE
Second Line	:	COURT A
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-3984
Country	:	US
Telephone Number	:	630-889-9889
Fax Number	:	630-889-8977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	10/24/2011

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Directions to “ DR. DAVID C CHUA MD” Practice Location

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