Individual
SANDERS HONGGOOK CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1340 CHARLES ST, ROCKFORD, IL 61104-2200
(779) 696-5888
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-0483
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036155107
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002220600
—
FL
01
—
149FY
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/26/2007
Last updated
08/24/2025
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