Individual
CHUL WON CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
Mailing address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74782-20
WI
208M00000X
Hospitalist Physician
Primary
74782
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165130
—
WI
Enumeration date
06/26/2018
Last updated
11/30/2021
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