Individual
GARY CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2259 S DAMEN AVE, CHICAGO, IL 60608-4232
(872) 281-7575
Mailing address
1925 W 34TH ST UNIT F, CHICAGO, IL 60608-6845
(773) 387-2596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.013626
IL
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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