Kwang P Chung Md Sc in Earlville - General Practice
Kwang P Chung Md Sc - NPI 1073787941
Kwang P Chung Md Sc is a General Practice in Earlville, Illinois. Kwang P Chung Md Sc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kwang P Chung Md Sc is 1073787941. The last update date is 2008-04-22.
Kwang P Chung Md Sc's current location address is Po Box 607, Earlville, Illinois. You can contact this provider via phone number 8152466344 and fax number 8152464711. The mailing address for Kwang P Chung Md Sc is Po Box 607, Earlville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kwang P Chung Md Sc |
|---|---|
| Address | Po Box 607, Earlville, Illinois |
| Phone Number | 8152466344 |
| Fax Number | 8152464711 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Chung P Kwang |
| Credentials | MD |
| Telephone Number | 8152466344 |
NPI Number Detail
| NPI Number | 1073787941 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | Po Box 607 |
|---|---|
| City | Earlville |
| State | Illinois (IL) |
| Post Code | 605180607 |
| Phone Number | 8152466344 |
| Fax Number | 8152464711 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 36055582 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36055582 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kwang P Chung Md Sc by the Centers for Medicare & Medicaid Services?
The Kwang P Chung Md Sc has been issued the NPI (National Provider Identifier) 1073787941 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kwang P Chung Md Sc's facilities are situated?
The facilities of Kwang P Chung Md Sc are physically located at the following address: Po Box 607, Earlville, IL, 605180607.
What is the Kwang P Chung Md Sc's specialty and taxonomy code?
The Kwang P Chung Md Sc's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Kwang P Chung Md Sc receive the assignment of its 1073787941 from the Centers for Medicare & Medicaid Services?
The Kwang P Chung Md Sc was issued its 1073787941 by the Centers for Medicare & Medicaid Services on 2008-04-22.
When was the information related to Kwang P Chung Md Sc most recently updated or refreshed?
The details pertaining to the Kwang P Chung Md Sc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC