Provider Demographics
NPI:1235246463
Name:TU, KEVIN CHINGYUN (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:CHINGYUN
Last Name:TU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1200 S YORK RD
Mailing Address - Street 2:SUITE 4190
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5626
Mailing Address - Country:US
Mailing Address - Phone:630-782-1174
Mailing Address - Fax:773-463-2377
Practice Address - Street 1:1200 S YORK RD
Practice Address - Street 2:SUITE 4190
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5626
Practice Address - Country:US
Practice Address - Phone:630-782-1174
Practice Address - Fax:773-275-2443
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2015-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036104281207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL610189900OtherDEPT OF LABOR
ILP00157851OtherRAILROAD MEDICARE
IL02232584OtherBLUE CROSS BLUE SHIELD
IL036104281Medicaid
IL02232584OtherBLUE CROSS BLUE SHIELD
ILI21409Medicare UPIN