| Choongseo Chung DDS PC | |
|
876 Civic Center Dr Niles IL 60714-3207 | |
| (847) 583-1900 | |
| Not Available |
| Full Name | Choongseo Chung DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 876 Civic Center Dr, Niles, Illinois |
| Authorized Official Name and Position | Choongseo Chung (PRESIDENT) |
| Authorized Official Contact | 6508676335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choongseo Chung DDS PC 876 Civic Center Dr Niles IL 60714-3207 Ph: (847) 583-2920 | Choongseo Chung DDS PC 876 Civic Center Dr Niles IL 60714-3207 Ph: (847) 583-1900 |
| NPI Number | 1558644047 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558644047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.028480 (Illinois) | Primary |
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