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Individual

DR. YOUNG KWANG CHAE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MPH, MBA

Contact information

Practice address
250 E SUPERIOR ST, SUITE 5-2261, CHICAGO, IL 60611-2914
(855) 826-6384
Mailing address
645 N MICHIGAN AVE, SUITE 1006, CHICAGO, IL 60611-2826
(312) 472-1234

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036136159
IL
207RX0202X
Medical Oncology Physician
036136159
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
283136401
TX
Enumeration date
06/17/2008
Last updated
05/08/2017
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