Individual
DR. CHIN MAN KUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 W IRVING PARK RD, CHGO, IL 60613
(773) 975-3211
(773) 975-3220
Mailing address
625 N EUCLID AVE, OAK PARK, IL 60302
(708) 383-8999
(773) 525-1379
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001619077
BCBS
IL
Enumeration date
05/01/2007
Last updated
07/09/2007
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