Individual
AUDREY CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 SHORE DR, INDIANAPOLIS, IN 46254-2607
(317) 329-2000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01083444A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
02/05/2021
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