MR. KWANG P CHUNG (NPI# 1053371393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053371393 |
| Entity Type | Individual |
| Full Name | MR. KWANG P CHUNG |
| Credential | MD |
| Practice Address |
903 Greenbrier Road Earlville IL 60518-0607 |
| Mailing Address |
903 Greenbrier Road Po Box 607 Earlville IL 60518 |
| Practice Telephone | 8152466344 |
| Practice Fax Number | 8152464711 |
| Mailing Telephone | 8152466344 |
| Mailing Fax Number | 8152464711 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC BS | 0005000240 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750346896 | Kwang Hyun Chung | Dentist | 2703 Mahoning Ave, Ste 204, Youngstown, OH 44509-2337 | 2006-04-20 |
| 1861642860 | Kwang Soon Chung | Dentist | 9804 Rancho Verde Dr, Bakersfield, CA 93311-3007 | 2008-09-25 |
| 1245220581 | Kwang Ho Chung | Emergency Medicine | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2005-10-27 |
| Street Address |
903 GREENBRIER ROAD |
| City | EARLVILLE |
| State | IL |
| Zip Code | 60518-0607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174792063 | Earlville Comm Unit Sch Dist 9 | Local Education Agency (LEA) | 415 W. Union, Earlville, IL 60518 | 2008-02-25 |
| 1073787941 | Kwang P Chung Md Sc | General Practice | 903 Greenbrier Rd, Earlville, IL 60518-0607 | 2008-04-22 |
| 1508009762 | Hand Therapy of Lasalle County, Inc. | Occupational Therapist | 511 S Ottawa St, Earlville, IL 60518-8005 | 2009-04-16 |
| 1124136320 | Earlville Com Fire Pro Dist | Ambulance | 99 N. East St, Earlville, IL 60518-8232 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216380 | Brian Risley Walker | Acupuncturist | 20 N. Main St., Earlville, NY 13332-1333 | 2020-05-07 |
| 1033643358 | Melanie Essaher | Licensed Practical Nurse | 1232 Earlville Rd, Earlville, NY 13332-3600 | 2017-04-13 |
| 1972035541 | Rebecca Rasmussen | Registered Nurse | 4371 S Lebanon Rd, Earlville, NY 13332-2805 | 2017-04-01 |
| 1053765420 | Daniel Drees | Specialist/Technologist | 3135 218th St, Earlville, IA 52041-8509 | 2016-04-21 |
| 1972899672 | Cindy Ann Ogden | Local Education Agency (LEA) | 7705 Tackabury Rd, Earlville, NY 13332-3803 | 2011-06-22 |
| 1518251727 | April B Worlock | Registered Nurse | 1127 Niles Rd, Earlville, NY 13332-2823 | 2011-06-06 |
| 1124319512 | Debra Jean Alt | Doula | 1085 Niles Rd, Earlville, NY 13332-2821 | 2011-04-20 |
| 1588997522 | Denise Russell | Licensed Practical Nurse | 5 Abbott Ave, Earlville, NY 13332-0392 | 2009-09-09 |
| 1508009762 | Hand Therapy of Lasalle County, Inc. | Occupational Therapist | 511 S Ottawa St, Earlville, IL 60518-8005 | 2009-04-16 |
| 1871747378 | Mary Lorraine Cook | Physical Therapist | 984 Humphrey Rd, Earlville, NY 13332-3401 | 2008-11-11 |
| Find all providers in EARLVILLE | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073787941 | Kwang P Chung Md Sc | General Practice | 903 Greenbrier Rd, Earlville, IL 60518-0607 | 2008-04-22 |
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| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.