Provider Information for 1356827562
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ERIN LEA CHU LCPC
Sex: Female
NPI: 1356827562
Last Updated: 2023-03-21
Certification Date: 2023-03-21
Certification Date: 2023-03-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1356827562 | ||||||||
| Enumeration Date | 2018-07-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1440 RENAISSANCE DR STE 320 PARK RIDGE, IL 60068-1471 United States Phone: 847-759-9110 | Fax: | ||||||||
| Primary Practice Address | 1440 RENAISSANCE DR STE 320 PARK RIDGE, IL 60068-1471 United States Phone: 847-759-9110 | Fax: | ||||||||
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