MEDICARE: HEALTHFRONT, LIMITED

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	207R00000X	Internal Medicine Physician	036087894	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	:	1649466426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHFRONT, LIMITED

Provider Business Mailing Address
First Line	:	3610 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5606
Country	:	US
Telephone Number	:	773-267-1992
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5606
Country	:	US
Telephone Number	:	773-267-1992
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANCISCO L CHUY
Credential	:	MD
Telephone Number	:	773-267-0055

Provider Enumeration Date	:	09/14/2007
Last Update Date	:	01/26/2012

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Directions to “HEALTHFRONT, LIMITED ” Practice Location

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