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Individual

DR. IL JUN CHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
446 N READING RD, SUITE 301, EPHRATA, PA 17522-9802
(717) 733-6546
(717) 733-6010
Mailing address
446 N READING RD, SUITE 301, EPHRATA, PA 17522-9802
(717) 733-6546
(717) 733-6010

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD073540L
PA
208M00000X
Hospitalist Physician
MD073540L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1842878
PA
01
CH927635
BLUE SHIELD
PA
01
P00261067
RAILROAD MEDICARE
PA
Enumeration date
07/29/2006
Last updated
01/20/2012
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