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NPI Code Detail

MEDICARE: DR. JEFFREY CHUNG MD

MEDICARE:  DR. JEFFREY  CHUNG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247100000XRadiologic Technologist036-089631IL
22085R0202XDiagnostic Radiology Physician036089631IL

General Provider Information

NPI Number : 1396713590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY CHUNG MD
Provider Business Mailing Address
First Line : PO BOX 1690
Second Line :
City : WOODSTOCK
State : IL
Zip : 60098-1690
Country : US
Telephone Number : 815-337-1466
Fax Number : 815-337-1721
Provider Business Practice Location Address
First Line : 1555 BARRINGTON RD
Second Line : RADIOLOGY DEPARTMENT
City : HOFFMAN ESTATES
State : IL
Zip : 60194-1019
Country : US
Telephone Number : 847-490-6989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 05/13/2024

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Directions to “ DR. JEFFREY CHUNG MD” Practice Location

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