Organization
CHUNG MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG J CHUNG M.D. (PRESIDENT)
(219) 836-9024
Entity
Organization
Contact information
Practice address
9339 CALUMET AVE, MUNSTER, IN 46321-2879
(219) 836-1620
(219) 836-1621
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-2022
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200974030
—
IN
Enumeration date
02/23/2010
Last updated
08/05/2010
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