Beth Chung, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.000947 Issued in IL

Practice address

4803 N. Milwaukee Ave
Suite B, Unit 218
Chicago, IL 60630-1563

Phone

(773) 318-4085

NPI assigned

Jul 21, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1053609289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 N. MILWAUKEE AVE",
            "address_2": "SUITE B, UNIT 218",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 N. MILWAUKEE AVE",
            "address_2": "SUITE B, UNIT 218",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301563",
            "telephone_number": "773-318-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "BETH",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yong Chul Chun, MD
• Vishnu Chundi, MD
• Krishna C Chunduri, M.D.
• Chung M. Song, MD, SC
• Kristina Eunjoo Chung-Hellinga, D.C.
• Bow Young Chung, M.D.
• Brian Chung, M.D.
• Catherine L Chung, APN
• Christina Chung
• Christopher Chung, MD

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.