Chu, Philip

Chu, Philip is an sole proprietor health care provider with primary practice located at 317 Salem Place Ste 140 , Fairview Heights IL 62208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chu, Philip can be contacted via phone (618) 632-3343.

Contact Information

Primary practice address
317 Salem Place Ste 140 Fairview Heights IL 62208
Phone: (618) 632-3343
Fax: (618) 632-4914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0360936321 Illinois

Profile Details

NPI number 1396797841
LBN Legal business name Chu, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jun 2nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396797841 NPPES
Illinois MEDICAID 0360936321

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