# CHUNG MEDICAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215259965
- **Authorized official:** DOUG J CHUNG M.D. (PRESIDENT)
- **Authorized official phone:** (219) 836-9024

## Contact information

- **Practice address:** 9339 CALUMET AVE, MUNSTER, IN 46321-2879
- **Practice address phone:** (219) 836-1620
- **Practice address fax:** (219) 836-1621
- **Mailing address:** 9201 CALUMET AVE, MUNSTER, IN 46321-2807
- **Mailing address phone:** (219) 836-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2010
- **Last updated:** 08/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200974030 | — | IN |