Individual
DR. CHUNG Z MOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 W LAWRENCE AVE, CHICAGO, IL 60625-5627
(773) 539-5455
(312) 326-3007
Mailing address
3535 W LAWRENCE AVE, CHICAGO, IL 60625-5627
(773) 539-5455
(312) 326-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036058992
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058992
—
IL
Enumeration date
08/11/2005
Last updated
03/20/2014
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