Individual
PAUL CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 503-2849
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036142313
IL
207R00000X
Internal Medicine Physician
125-065124
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036142313
IL
207RP1001X
Pulmonary Disease Physician
036142313
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036.142313
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2014
Last updated
06/08/2021
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