Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 036154439 | IL |
NPI | 1134735962 |
---|---|
Provider Name | Mr. Kalvin Cheuk Hang Lung |
First Address | Chicago, IL 60611 |
Second Address | Chicago, IL 60611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2020 |
Last Update Date | 29/04/2021 |