MEDICARE: DR. AILEEN CHOU DPT

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	225100000X	Physical Therapist	038002	NY
2	225100000X	Physical Therapist	070022946	IL

General Provider Information

NPI Number	:	1699134106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AILEEN CHOU DPT

Provider Business Mailing Address
First Line	:	301 E 17TH ST
Second Line	:	5TH FLOOR REHABILITATION
City	:	NEW YORK
State	:	NY
Zip	:	10003-3804
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 W DEVON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-1329
Country	:	US
Telephone Number	:	773-360-5514
Fax Number	:	773-360-5517

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

Provider Enumeration Date	:	02/12/2016
Last Update Date	:	03/26/2018

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Directions to “ DR. AILEEN CHOU DPT” Practice Location

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