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Individual

DR. GARY CHUN-I AN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-3790
(312) 695-1462
Mailing address
2540 W CHICAGO AVE # 2, CHICAGO, IL 60622-4517
(312) 493-4872
(312) 864-9545

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
036-087054
IL
2086S0102X
Surgical Critical Care Physician
Primary
042.0014189
VT
2086S0127X
Trauma Surgery Physician
036-087054
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
356670
IL
Enumeration date
08/18/2006
Last updated
10/04/2018
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