Chu, Samuel Kwang-Wei

Chu, Samuel Kwang-Wei is an individual health care provider with primary practice located at 355 E Erie St , Chicago IL 60611-3167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Chu, Samuel Kwang-Wei can be contacted via phone (312) 238-7767.

Contact Information

Primary practice address
355 E Erie St Chicago IL 60611-3167
Phone: (312) 238-7767
Fax: (312) 238-7709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-101920 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 036-101920 Illinois

Profile Details

NPI number 1538450770
LBN Legal business name Chu, Samuel Kwang-Wei
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2011
Last updated Apr 22nd, 2022 - about 4 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 1538450770 NPPES
Illinois MEDICAID 036140570-1
Illinois Other P01789506

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