Susie Chung, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

19025528 Issued in IL

Practice address

4432 Oakton St
Suite B
Skokie, IL 60076-3259

Phone

(847) 942-3887

Fax

(847) 677-7454

NPI assigned

Aug 25, 2006

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

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1679680490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 OAKTON ST",
            "address_2": "SUITE B",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763259",
            "telephone_number": "847-942-3887",
            "fax_number": "847-677-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 OAKTON ST",
            "address_2": "SUITE B",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763259",
            "telephone_number": "847-942-3887",
            "fax_number": "847-677-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SUSIE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "19025528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena M Chowaniec, PTA
• Agnieszka Chruszczyk, DDS
• Mark C Chua, NP
• Holly Chuang
• Elizabeth K Chung, M.D.
• Yoo Mi Chung, D.P.T
• Church St Pharm Inc
• Cynthia Ann Ciluffo, L. C. S. W.
• Cimis Fellowship
• Anastasia Cisneros-Frausto, MD

• Prosthodontics in Skokie, IL
• Providers in Skokie, IL by specialty
• Prosthodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.