Provider Demographics
NPI:1548631161
Name:NAUJOKAS, CHENGCHI (PT)
Entity type:Individual
Prefix:
First Name:CHENGCHI
Middle Name:
Last Name:NAUJOKAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CHENG-CHI
Other - Middle Name:
Other - Last Name:TSAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:630-575-1980
Mailing Address - Fax:
Practice Address - Street 1:6255 S ARCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-2609
Practice Address - Country:US
Practice Address - Phone:773-284-6735
Practice Address - Fax:773-284-6820
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.017106225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist