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Individual

SERAFIN CHUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2653 W OGDEN AVE, 3RD FLOOR, CHICAGO, IL 60608-1647
(773) 257-6730
(773) 257-4775
Mailing address
2653 W OGDEN AVE, 3RD FLOOR, CHICAGO, IL 60608-1647
(773) 257-6730
(773) 257-4775

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15019
MS
207RR0500X
Rheumatology Physician
Primary
036091861
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036091861
IL
Enumeration date
07/14/2006
Last updated
02/10/2014
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