Individual
SUSIE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4432 OAKTON ST, SUITE B, SKOKIE, IL 60076-3259
(847) 942-3887
(847) 677-7454
Mailing address
4432 OAKTON ST, SUITE B, SKOKIE, IL 60076-3259
(847) 942-3887
(847) 677-7454
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19025528
IL
Other
Enumeration date
08/25/2006
Last updated
07/11/2007
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