KWANG P CHUNG MD SC NPI 1073787941

NPI Information

KWANG P CHUNG MD SC is a general practice in Earlville, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KWANG P CHUNG MD SC NPI is 1073787941. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

903 GREENBRIER RD
EARLVILLE, IL
ZIP 60518-607
Phone: (815) 246-6344
Fax: (815) 246-4711

The provider's authorized official is Kwang P Chung .
The authorized official title is Owner President and has the following contact phone number (815) 246-6344.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 4/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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