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Individual
DR. CHARLES CHULSEUNG PAIK
Active
Individual
DR. CHARLES CHULSEUNG PAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036125831
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399980
GROUP MEDICARE PTAN
—
Enumeration date
05/25/2008
Last updated
03/25/2021
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