Young Chung, MD
Individual provider Active NPI Surgery Physician · Freeport, IL
NPI 1679547640 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679547640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- Practice address
- 1036 W Stephenson St
Freeport, IL 61032-4865 - Phone
- (815) 599-6000
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-041744 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeport Memorial Hospital | Past | Accepting new patients | |
| Freeport Memorial Hospital | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | IL | Yes |
Addresses
Primary practice location
1036 W Stephenson St
Freeport, IL 61032-4865
Mailing address
421 W Exchange St
PO Box 268
Freeport, IL 61032-4030
Phone (815) 599-7958
Other providers in Freeport, IL
- Briana Caswell
- Catholic Charities - Diocese of Rockford
- Tiffany Chander
- Erica Chapple
- David Cheng
- Charles Cicero
- Citadel at Saint Joseph Village LLC
- City of Freeport
- Sue Ann Clark Sr.
- Tori Clark
All providers in Freeport, IL · Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.