Chung, Sung J
Chung, Sung J is an individual health care provider with primary practice located at 2201 Glenwood Ave , Joliet IL 60435-5574. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Chung, Sung J can be contacted via phone (815) 725-1191.Contact Information
Primary practice address
2201 Glenwood Ave
Joliet IL 60435-5574
Phone: (815) 725-1191
Fax: (815) 725-2048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | Illinois |
Profile Details
| NPI number | 1912980574 |
|---|---|
| LBN Legal business name | Chung, Sung J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Nov 7th, 2007 - about 18 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 | 1912980574 | NPPES |
| Illinois | Other | CH4890 | RR MEDICARE |
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