MEDICARE: YUNJO CHUNG MD

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
1	207V00000X	Obstetrics & Gynecology Physician	35033892	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	160030535	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538130646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUNJO CHUNG MD

Provider Business Mailing Address
First Line	:	10190 SPRINGFIELD PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-1448
Country	:	US
Telephone Number	:	513-772-7600
Fax Number	:	513-923-4301

Provider Business Practice Location Address
First Line	:	10190 SPRINGFIELD PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-1448
Country	:	US
Telephone Number	:	513-772-7600
Fax Number	:	513-326-5572

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	11/04/2009

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Directions to “ YUNJO CHUNG MD” Practice Location

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