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General NPI Number Information
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NPI Number | 1144244872
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Entity Type | Individual
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Provider Name | KRISTINA EUNJOO CHUNG-HELLINGA D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 4753 N BROADWAY ST SUITE 101
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City | CHICAGO
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State | IL
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Zip | 60640-5266
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Country | US
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Telephone | 773-271-8284
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Fax | 773-271-9139
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Provider Business Mailing Address
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Address Line | 9 CANADA OAKS
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City | COTO DE CAZA
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State | CA
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Zip | 92679-4937
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Country | US
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Telephone | 312-330-3018
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038008534
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License Number State | IL
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