Individual
DR. CALVIN C CHIU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2413 BROADWAY ST, MOUNT VERNON, IL 62864-2917
(618) 244-6170
(618) 244-7445
Mailing address
2413 BROADWAY ST, MOUNT VERNON, IL 62864-2917
(618) 244-6170
(618) 244-7445
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113672
HEALTHLINK
IL
01
—
L013912
TRICARE
IL
Enumeration date
07/27/2005
Last updated
07/08/2007
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