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General NPI Number Information
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NPI Number | 1386630986
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Entity Type | Organization
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Legal Business Name | HAK SUNG CHUNG MD PHD SC
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1445 N HUNT CLUB RD STE 303
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City | GURNEE
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State | IL
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Zip | 60031-2603
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Country | US
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Telephone | 847-596-2300
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Fax | 847-596-5730
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Provider Business Mailing Address
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Address Line | 1445 N HUNT CLUB RD STE 303
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City | GURNEE
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State | IL
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Zip | 60031-2603
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Country | US
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Telephone | 847-596-2300
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Fax | 847-596-5730
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAK SUNG CHUNG
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Credential | MD PHD
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Telephone | 847-596-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | IL
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