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NPI Code Detail

MEDICARE: JOSEPH SUNGKWANG CHAE

MEDICARE: JOSEPH SUNGKWANG CHAE
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
1101YP2500XProfessional Counselor180.014420IL

General Provider Information

NPI Number : 1548760416
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH SUNGKWANG CHAE
Provider Business Mailing Address
First Line : 869 W BLACKHAWK ST APT 306
Second Line :
City : CHICAGO
State : IL
Zip : 60642-2638
Country : US
Telephone Number : 773-412-8933
Fax Number :
Provider Business Practice Location Address
First Line : 414 PLAZA DR STE 301
Second Line :
City : WESTMONT
State : IL
Zip : 60559-5508
Country : US
Telephone Number : 630-728-1744
Fax Number : 630-998-7029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2018
Last Update Date : 04/08/2026

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Directions to “ JOSEPH SUNGKWANG CHAE ” Practice Location

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