Individual
DR. DIANA H CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7447 W TALCOTT AVE, BLDG C, CHICAGO, IL 60631-3745
(773) 792-5133
(773) 792-5013
Mailing address
700 COMMERCE DR, SUITE 500, OAK BROOK, IL 60523-1546
(847) 698-0600
(847) 698-0601
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036097874
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097874
—
IL
01
—
P00222220
RAILROAD MEDICARE
IL
Enumeration date
10/31/2005
Last updated
10/11/2016
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