ALISSA LEVY CHUNG, PH.D., INC.


Address: 704 South Blvd, Evanston, IL 60202-2908
Phone: 7738526910

ALISSA LEVY CHUNG, PH.D., INC. (NPI# 1639535396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639535396
Entity Type Organization
Organization Name ALISSA LEVY CHUNG, PH.D., INC.
Practice Address 704 South Blvd
Evanston
IL 60202-2908
Practice Telephone 7738526910
Mailing Telephone 7738526910
Enumeration Date 2016-01-12
Last Update Date 2016-01-12
Authorized Official Name DR. ALISSA LEVY CHUNG (CLINICAL PSYCHOLOGIST/OWNER)
Authorized Official Telephone 7738526910
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
071006276 IL Behavioral Health & Social Service Providers

Office Location

Street Address 704 SOUTH BLVD
City EVANSTON
State IL
Zip Code 60202-2908

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City EVANSTON
Zip Code 60202

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Dataset Information

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.

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