Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 036135321 | IL |
NPI | 1043444797 |
---|---|
Provider Name | Daun Chung |
First Address | Dallas, TX 75246 |
Second Address | Los Angeles, CA 90067-2006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2009 |
Last Update Date | 04/02/2021 |