| Chia Lun Chung Psyd Inc | |
|
4753 N Broadway St Suite 821 Chicago IL 60640-5266 | |
| (773) 255-1293 | |
| Not Available |
| Full Name | Chia Lun Chung Psyd Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4753 N Broadway St, Chicago, Illinois |
| Authorized Official Name and Position | Chia Lun Chung (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7732551293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chia Lun Chung Psyd Inc 4753 N Broadway St Suite 821 Chicago IL 60640-5266 Ph: (773) 255-1293 | Chia Lun Chung Psyd Inc 4753 N Broadway St Suite 821 Chicago IL 60640-5266 Ph: (773) 255-1293 |
| NPI Number | 1821283375 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821283375 | NPI | - | NPPES |
| 1528077815 | Other | IL | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-006862 (Illinois) | Primary |
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