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NPI Code Detail

MEDICARE: FRANCISCO L CHUY M.D.

MEDICARE:   FRANCISCO L CHUY  M.D.
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
1173000000XLegal Medicine036087894IL

Other Identifiers

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

General Provider Information

NPI Number : 1689863029
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCISCO L CHUY M.D.
Provider Business Mailing Address
First Line : 3610 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-7236
Country : US
Telephone Number : 773-267-0055
Fax Number :
Provider Business Practice Location Address
First Line : 3610 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-7236
Country : US
Telephone Number : 773-267-0055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2007
Last Update Date : 10/03/2012

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Directions to “ FRANCISCO L CHUY M.D.” Practice Location

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