Dong Joon Chung, MD | |
1011 Ford Ave, Effingham, IL 62401-1701 | |
(217) 347-7600 | |
Not Available |
Full Name | Dong Joon Chung |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1011 Ford Ave, Effingham, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649240888 | NPI | - | NPPES |
34972500 | Medicaid | WI | |
64083041 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38606 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 51131-020 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 036138331 (Illinois) | Primary |
Entity Name | Central Dupage Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003864810 PECOS PAC ID: 0941108666 Enrollment ID: O20031231000723 |
Mailing Address | Practice Location Address |
---|---|
Dong Joon Chung, MD 12935 Gregory St, Blue Island, IL 60406-2428 Ph: (708) 597-2000 | Dong Joon Chung, MD 1011 Ford Ave, Effingham, IL 62401-1701 Ph: (217) 347-7600 |
Katelyn Jule Klosterman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1303 W Evergreen Ave Ste 202, Effingham, IL 62401 Phone: 217-238-4634 Fax: 217-342-3402 | |
Dominic Charles Imburgia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 N Maple St, Effingham, IL 62401 Phone: 217-347-2900 Fax: 217-347-2922 | |
Fred Richardson Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 Medical Park Dr, Suite 3, Effingham, IL 62401 Phone: 217-540-2350 Fax: 217-347-2323 | |
Jeffrey Brummer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1106 N Merchant St, Effingham, IL 62401 Phone: 217-342-7000 | |
Hope E Knauer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 N Maple St, Effingham, IL 62401 Phone: 217-342-4151 Fax: 217-347-8955 | |
Dr. Sean F. Flynn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 N Maple St Ste E, Effingham, IL 62401 Phone: 217-347-7030 Fax: 217-347-7197 | |
Dr. Shantha Matthew Monippallil, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 S 4th St, Same, Effingham, IL 62401 Phone: 217-347-7600 |