Individual
DR. GORDON KT CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 W JACKSON ST STE 400, CARBONDALE, IL 62901-1474
(618) 351-4972
(618) 351-4973
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036119245
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119245
—
IL
Enumeration date
11/27/2007
Last updated
03/10/2021
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