Individual
PENUEL CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(262) 292-3151
Mailing address
S. 1ST AVENUE, MAYWOOD, IL 60153-3328
(260) 460-0514
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036.163946
IL
2085R0204X
Vascular & Interventional Radiology Physician
125071391
IL
Other
Enumeration date
03/23/2017
Last updated
07/28/2023
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