Alissa Karen Chung in Evanston - Clinical
Alissa Karen Chung - NPI 1407997919
Alissa Karen Chung is a Clinical in Evanston, Illinois. Alissa Karen Chung practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alissa Karen Chung is 1407997919. The last update date is 2007-07-08.
Alissa Karen Chung's current location address is 9437 Harding Ave, Evanston, Illinois. You can contact this provider via phone number 7738526910. The mailing address for Alissa Karen Chung is 9437 Harding Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alissa Karen Chung |
|---|---|
| Address | 9437 Harding Ave, Evanston, Illinois |
| Phone Number | 7738526910 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1407997919 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9437 Harding Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602031322 |
| Phone Number | 7738526910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1633722 | IL | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Alissa Karen Chung?
The Alissa Karen Chung has been issued the NPI (National Provider Identifier) 1407997919 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Alissa Karen Chung?
The Alissa Karen Chung is situated at 9437 Harding Ave, in the city of Evanston, state of IL, with the zip code 602031322.
What is Alissa Karen Chung's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alissa Karen Chung is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407997919 to Alissa Karen Chung?
The Centers for Medicare & Medicaid Services originally issued the 1407997919 to Alissa Karen Chung on 2007-02-08.
When was the information regarding Alissa Karen Chung, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Alissa Karen Chung, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.