Individual
EUNA CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 W TAYLOR ST # 3AA, CHICAGO, IL 60612-4795
(312) 413-3627
Mailing address
1801 W TAYLOR ST # 3AA, CHICAGO, IL 60612-4795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.135766
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2011
Last updated
04/26/2016
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