IndividualActive
Kirk Patrick Chiu
NPI 1235831348 · Student in an Organized Health Care Education/Training Program · Berwyn, IL
Provider details
- NPI number
- 1235831348
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
- License
- 125.082486 (IL)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 125082486 (IL)
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone: (224) 619-7221
Street-level locationGet directions
Mailing address
2012 W 19th St
Chicago, IL 60608-2615
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.