Chae, Young Kwang
Chae, Young Kwang is an sole proprietor health care provider with primary practice located at 250 E Superior St Suite 5-2261, Chicago IL 60611-2914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Chae, Young Kwang can be contacted via phone (855) 826-6384.Contact Information
Primary practice address
250 E Superior St Suite 5-2261
Chicago IL 60611-2914
Phone: (855) 826-6384
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036136159 | Illinois |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 036136159 | Illinois |
Profile Details
NPI number | 1598926107 |
---|---|
LBN Legal business name | Chae, Young Kwang |
Credentials | MD, MPH, MBA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 17th, 2008 |
Last updated | May 8th, 2017 - about 7 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 | 1598926107 | NPPES |
Texas | MEDICAID | 283136401 |
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