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Organization

SOUTH LOOP ENDOSCOPY AND WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID C CHUA M.D. (PRESIDENT)
(630) 889-9889
Entity
Organization

Contact information

Practice address
2334 S WABASH AVE, CHICAGO, IL 60616-2112
(630) 889-9889
(630) 889-8977
Mailing address
1S280 SUMMIT AVE, COURT A, OAKBROOK TERRACE, IL 60181-3984
(630) 889-9889

Taxonomy

Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary

Other

Enumeration date
02/18/2012
Last updated
02/18/2012
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