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General NPI Number Information
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NPI Number | 1679665582
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Entity Type | Organization
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Legal Business Name | CHUN AM CORPORATION
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 737 W DUNDEE RD
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City | WHEELING
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State | IL
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Zip | 60090-2605
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Country | US
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Telephone | 847-808-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 737 W DUNDEE RD
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City | WHEELING
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State | IL
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Zip | 60090-2605
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR
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Name | DR. SCOTT SANG IN LEE
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Credential |
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Telephone | 847-808-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State | IL
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