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General NPI Number Information
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NPI Number | 1114986049
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Entity Type | Organization
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Legal Business Name | ELIZABETH K CHUNG, M.D. SC.
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8707 SKOKIE BLVD SUITE 216
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City | SKOKIE
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State | IL
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Zip | 60077-2269
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Country | US
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Telephone | 847-933-1133
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Fax | 847-933-1122
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Provider Business Mailing Address
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Address Line | PO BOX 809
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City | SKOKIE
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State | IL
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Zip | 60076-0809
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Country | US
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Telephone | 847-933-1133
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Fax | 847-933-1122
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ELIZABETH K CHUNG
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Credential | M.D.
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Telephone | 847-933-1133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | IL
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