DR. CHAE CHU M.D. NPI 1043250954

NPI Information

NPI: 1043250954
Provider Name: DR. CHAE CHU, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
1302 FRANKLIN AVE
#2200
NORMAL, IL
ZIP 61761
Phone: (309) 662-9631
Get Directions

DR. Chae Chu, M.D. is a pulmonary disease internal medicine in Normal, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Chae Chu, M.D. NPI is 1043250954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1302 FRANKLIN AVE
#2200
NORMAL, IL
ZIP 61761-551
Phone: (309) 662-9631
Fax: (309) 662-4706

The NPI 1043250954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	212636	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE GROUP NUMBER
2	G03592	MEDICARE UPIN
3	017329	OTHER	ILLINOIS	HEALTH ALLIANCE
4	05732097	OTHER	ILLINOIS	BC GROUP NUMBER
5	P00271754	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	RR MEDICARE NUMBER
6	K23121	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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