Individual
JUSTIN CHEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1855 W TAYLOR ST, CHICAGO, IL 60612-7242
(312) 996-6522
Mailing address
1855 W TAYLOR ST, CHICAGO, IL 60612-7242
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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