Individual
DONG JOON CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 FORD AVE, EFFINGHAM, IL 62401-1701
(217) 347-7600
Mailing address
12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
(708) 597-2000
(708) 824-4582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036138331
IL
207Q00000X
Family Medicine Physician
38606
KY
207Q00000X
Family Medicine Physician
51131-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34972500
—
WI
05
—
64083041
—
KY
Enumeration date
01/23/2006
Last updated
04/12/2023
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