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Organization
ELIZABETH K CHUNG, M.D. SC.
Active
Organization
ELIZABETH K CHUNG, M.D. SC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH K CHUNG M.D. (PHYSICIAN/OWNER)
(847) 933-1133
Entity
Organization
Contact information
Practice address
8707 SKOKIE BLVD, SUITE 216, SKOKIE, IL 60077-2269
(847) 933-1133
(847) 933-1122
Mailing address
PO BOX 809, SKOKIE, IL 60076-0809
(847) 933-1133
(847) 933-1122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635604
BC/BS PROVIDER ID
IL
01
—
294839
AMERIGROUP PROVIDER ID
—
01
—
889383
CCN PROVIDER ID
—
01
—
FIRST HEALTH PROVIDE
889383
—
Enumeration date
03/20/2006
Last updated
08/22/2020
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