Chung, Dong Joon

Chung, Dong Joon is an individual health care provider with primary practice located at 1011 Ford Ave , Effingham IL 62401-1701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chung, Dong Joon can be contacted via phone (217) 347-7600.

Contact Information

Primary practice address
1011 Ford Ave Effingham IL 62401-1701
Phone: (217) 347-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38606 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 51131-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036138331 Illinois

Profile Details

NPI number 1649240888
LBN Legal business name Chung, Dong Joon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 12th, 2023 - about 2 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 1649240888 NPPES
Wisconsin MEDICAID 34972500
Wisconsin MEDICAID 64083041

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