Chung, Diana H

Chung, Diana H is an individual health care provider with primary practice located at 7447 W Talcott Ave Bldg C, Chicago IL 60631-3745. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Chung, Diana H can be contacted via phone (773) 792-5133.

Contact Information

Primary practice address
7447 W Talcott Ave Bldg C Chicago IL 60631-3745
Phone: (773) 792-5133
Fax: (773) 792-5013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036097874 Illinois

Profile Details

NPI number 1538150644
LBN Legal business name Chung, Diana H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 11th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538150644 NPPES
Illinois MEDICAID 036097874
Illinois Other P00222220

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