South Loop Endoscopy and Wellness Center LLC

NPI #1144593369 in Chicago, Illinois

Provider Information

NPI Number: 1144593369
Entity Type: Organization
Organization Name: South Loop Endoscopy and Wellness Center LLC
Primary Specialty: Clinic/Center - Endoscopy
Enumeration Date: Feb 18, 2012
Last Updated: Feb 18, 2012

Practice Location

Address: 2334 S WABASH AVE
City: Chicago
State: Illinois
ZIP Code: 60616-2112
Phone: (630) 889-9889

Authorized Official

Name: DR. DAVID C CHUA, M.D.
Title: PRESIDENT
Phone: (630) 889-9889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Endoscopy — Endoscopy	261QE0800X	Primary

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