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Individual

DR. KEVIN CHINGYUN TU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 S YORK RD, SUITE 4190, ELMHURST, IL 60126-5626
(630) 782-1174
(773) 275-2443
Mailing address
1200 S YORK RD, SUITE 4190, ELMHURST, IL 60126-5626
(630) 782-1174
(773) 463-2377

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036104281
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02232584
BLUE CROSS BLUE SHIELD
IL
05
036104281
IL
01
610189900
DEPT OF LABOR
IL
01
P00157851
RAILROAD MEDICARE
IL
Enumeration date
08/24/2006
Last updated
04/30/2015
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