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NPI Code Detail

MEDICARE: YONG CHUL CHUN, M.D., S.C.

MEDICARE: YONG CHUL CHUN, M.D., S.C.
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
1261QP2300XPrimary Care Clinic/Center036053060IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851608764
Entity Type Code : Organization
Provider Name (Legal Business Name) : YONG CHUL CHUN, M.D., S.C.
Provider Business Mailing Address
First Line : 3703 TORREY PINES PKWY
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-3129
Country : US
Telephone Number : 773-539-5333
Fax Number :
Provider Business Practice Location Address
First Line : 3755 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-5712
Country : US
Telephone Number : 773-539-5333
Fax Number : 773-539-0251
Authorized Official
Title or Position : PRESIDENT
Name : DR. YONG CHUL CHUN
Credential : M.D.
Telephone Number : 773-539-5333
Provider Enumeration Date : 09/13/2010
Last Update Date : 09/13/2010

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Directions to “YONG CHUL CHUN, M.D., S.C. ” Practice Location

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