Chung Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CHUNG MEDICAL CORPORATION

Practice address

9339 Calumet Ave
Munster, IN 46321-2879

Phone

(219) 836-1620

Fax

(219) 836-1621

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Doug J Chung, M.D.

Title

President

Phone

(219) 836-9024

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1215259965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212807",
            "telephone_number": "219-836-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212879",
            "telephone_number": "219-836-1620",
            "fax_number": "219-836-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-9024",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200974030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolia Stelliani Christy, PA-C
• Jonathan Chua
• Charles Randall Chube, M.D.
• Sameea A Chughtai, DO
• Therese Chukwu, OTR/L
• Felicia Marie Cianchetti, LMHC
• Vicki Ann Ciesielski
• Gina Cipowski, OTR
• Samuel S Clabaugh, HIS
• Joan B Clare, LCSW

• Obstetrics & Gynecology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.