MEDICARE: DR. AERIE 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	207R00000X	Internal Medicine Physician	4301091941	MI
2	207RI0200X	Infectious Disease Physician	18339	WI
3	207RI0200X	Infectious Disease Physician	01072481A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01703901	OTHER	IN	RR MEDICARE
2	1877200008	OTHER	IN	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1992960850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AERIE CHUNG MD

Provider Business Mailing Address
First Line	:	3838 N MAIN ST STE 1C
Second Line	:
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-3100
Country	:	US
Telephone Number	:	574-404-3980
Fax Number	:	574-931-8601

Provider Business Practice Location Address
First Line	:	3838 N MAIN ST STE 1C
Second Line	:
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-3100
Country	:	US
Telephone Number	:	574-404-3980
Fax Number	:	574-931-8601

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

Provider Enumeration Date	:	07/21/2008
Last Update Date	:	07/01/2023

Similar Medicare Providers

1366097016 — MIDS, LLC
Practice Location Address:

3838 N MAIN ST STE 1C
MISHAWAKA, IN
46545-3100

Practice Phone: 574-404-3980
Practice Fax: 574-931-8601

1972115483 — MEDICAL SERVICE COMPANY
Practice Location Address:

3838 N MAIN ST STE 1B
MISHAWAKA, IN
46545-3100

Practice Phone: 866-907-5337
Practice Fax: 440-232-3411

1639009046 — LILLIAN RENEE WALLIS
Practice Location Address:

3838 N MAIN ST
MISHAWAKA, IN
46545-3100

Practice Phone: 888-982-5228
Practice Fax:

1699607150 — CASEY COMO
Practice Location Address:

5215 HOLY CROSS PKWY
MISHAWAKA, IN
46545-1469

Practice Phone: 574-335-5000
Practice Fax:

1760365530 — ANNALIESA FANGUY MD
Practice Location Address:

611 E DOUGLAS RD STE 407
MISHAWAKA, IN
46545-1468

Practice Phone: 574-335-6500
Practice Fax:

1972069052 — GINA RENE ROMANO BCABA
Practice Location Address:

520 PARK PLACE CT
MISHAWAKA, IN
46545-3581

Practice Phone: 574-207-0648
Practice Fax:

Directions to “ DR. AERIE CHUNG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.