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Individual
DR. JOSEPH KISE CHUNG
Active
Individual
DR. JOSEPH KISE CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036106892
IL
207Q00000X
Family Medicine Physician
2020-04159
NC
207Q00000X
Family Medicine Physician
Primary
U9493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106892-1
—
IL
01
—
04532170
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/05/2006
Last updated
12/04/2025
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