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NPI Code Detail

MEDICARE: JANEL V. CHUA

MEDICARE: JANEL V. CHUA
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
1225100000XPhysical Therapist070017761IL

General Provider Information

NPI Number : 1932410990
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANEL V. CHUA
Provider Business Mailing Address
First Line : 5244 SUFFIELD TER
Second Line :
City : SKOKIE
State : IL
Zip : 60077-1565
Country : US
Telephone Number : 571-205-1544
Fax Number :
Provider Business Practice Location Address
First Line : 4538 N BEACON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-5519
Country : US
Telephone Number : 773-561-4134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2010
Last Update Date : 06/24/2010

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