Bow Young Chung
General Practice Physician Advanced Heart Failure and Transplant Cardiologist
5841 S Maryland Ave # Mc1052 Univ Of Chicago Medical Center, Dept Of Gme Rm J141
Chicago
, Illinois 60637
Bow Young Chung
General Practice Physician Advanced Heart Failure and Transplant Cardiologist
5841 S Maryland Ave # Mc1052 Univ Of Chicago Medical Center, Dept Of Gme Rm J141
Chicago
, Illinois 60637
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About
Features
Specialties
- Advanced Heart Failure and Transplant Cardiologist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Bow Young Chung
- 5841 S Maryland Ave # Mc2016
- Chicago, IL
- Zip : 60637-1443
- Phone :
Second Address
- Bow Young Chung
- 5841 S Maryland Ave # Mc1052 Univ Of Chicago Medical Center, Dept Of Gme Rm J141
- Chicago, IL
- Zip : 60637
- Phone : (773) 702-1234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036.135694 | IL |
| N | 208D00000X | General Practice Physician | 125.059323 | IL |
National Provider Identifier
| NPI | 1073809570 |
|---|---|
| Provider Name | Bow Young Chung |
| First Address | Chicago, IL 60637-1443 |
| Second Address | Chicago, IL 60637 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2011 |
| Last Update Date | 28/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.