Chae, Sanders Honggook
Chae, Sanders Honggook is an individual health care provider with primary practice located at 1340 Charles St Ste 300 , Rockford IL 61104-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Chae, Sanders Honggook can be contacted via phone (779) 696-5888.Contact Information
Primary practice address
1340 Charles St Ste 300
Rockford IL 61104-2200
Phone: (779) 696-5888
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME107484 | Florida |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | ME107484 | Florida |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 036-155107 | Illinois |
Profile Details
NPI number | 1528186004 |
---|---|
LBN Legal business name | Chae, Sanders Honggook |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2007 |
Last updated | Apr 6th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528186004 | NPPES |
Florida | MEDICAID | 002220600 | |
Florida | Other | 149FY |
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