Organization
CHOONGSEO CHUNG DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHOONGSEO CHUNG D.D.S. (PRESIDENT)
(650) 867-6335
Entity
Organization
Contact information
Practice address
876 CIVIC CENTER DR, NILES, IL 60714-3207
(847) 583-1900
Mailing address
876 CIVIC CENTER DR, NILES, IL 60714-3207
(847) 583-2920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028480
IL
Other
Enumeration date
09/21/2011
Last updated
02/05/2013
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