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1437220902

NPI Code Detail

MEDICARE: DR. DOUGLAS CHUNG D.C

MEDICARE: DR. DOUGLAS CHUNG D.C

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
1	111N00000X	Chiropractor		IL

General Provider Information

NPI Number	:	1437220902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS CHUNG D.C

Provider Business Mailing Address
First Line	:	9820 N MILWAUKEE AVE
Second Line	:	UNIT C & D
City	:	DES PLAINES
State	:	IL
Zip	:	60016-0000
Country	:	US
Telephone Number	:	815-458-6597
Fax Number	:	815-458-7934

Provider Business Practice Location Address
First Line	:	9820 N MILWAUKEE AVE
Second Line	:	UNIT C & D
City	:	DES PLAINES
State	:	IL
Zip	:	60016-0000
Country	:	US
Telephone Number	:	815-458-6597
Fax Number	:	815-458-7934

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. DOUGLAS CHUNG D.C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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