Kwang P Chung Md Sc | |
903 Greenbrier Rd Earlville IL 60518-0607 | |
(815) 246-6344 | |
(815) 246-4711 |
Full Name | Kwang P Chung Md Sc |
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Speciality | General Practice |
Location | 903 Greenbrier Rd, Earlville, Illinois |
Authorized Official Name and Position | Kwang P Chung (OWNER PRESIDENT) |
Authorized Official Contact | 8152466344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kwang P Chung Md Sc Po Box 607 903 Greenbrier Rd Earlville IL 60518-0607 Ph: (815) 246-6344 | Kwang P Chung Md Sc 903 Greenbrier Rd Earlville IL 60518-0607 Ph: (815) 246-6344 |
NPI Number | 1073787941 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
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1073787941 | NPI | - | NPPES |
036055582 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 036055582 (Illinois) | Primary |