Organization · Type 2 NPI
Kwang P Chung MD SC
General Practice Physician · Earlville, IL
NPI number
1073787941
Active
Practice location
903 Greenbrier Rd
Earlville, IL 60518-0607
Fax (815) 246-4711
Mailing address
PO Box 607, 903 Greenbrier Rd
Earlville, IL 60518-0607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 036055582 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1073787941
Kwang P Chung MD SC's National Provider Identifier is 1073787941, issued on Apr 22, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Earlville, IL. The record was last updated on Apr 22, 2008.