Individual
FELIPE ISIP CHUA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., SA-C
Contact information
Practice address
1413 W LEXINGTON ST, CHICAGO, IL 60607
(219) 218-2908
Mailing address
2158 45TH ST STE 204, HIGHLAND, IN 46322-3742
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000366
IL
Other
Enumeration date
06/10/2009
Last updated
11/30/2020
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