Provider Demographics
NPI:1427567882
Name:CHOW, CYNTHIA (AUD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:CHOW
Suffix:
Gender:F
Credentials:AUD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7739 W ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-2261
Mailing Address - Country:US
Mailing Address - Phone:312-898-2356
Mailing Address - Fax:
Practice Address - Street 1:6905 NORTH AVE
Practice Address - Street 2:STE 3
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1041
Practice Address - Country:US
Practice Address - Phone:708-445-7171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001653231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist