Active NPI
Thomas T. Chung M.D. P.C.
- Specialist
- Flossmoor, IL
National Provider Identifier
1750648408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036.045939
- Legal business name
- THOMAS T. CHUNG M.D. P.C.
- Practice address
- 3235 Vollmer Rd
Suite 139
Flossmoor, IL 60422-2013 - Phone
- (708) 798-2333
- Fax
- (708) 798-3777
- NPI assigned
- Apr 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas T Chung, M.D.
- Title
- Doctor
- Phone
- (708) 798-2333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036.045939 | IL | Primary |
Addresses
Primary practice location
3235 Vollmer Rd
Suite 139
Flossmoor, IL 60422-2013
Mailing address
3235 Vollmer Rd
Suite 139
Flossmoor, IL 60422-2013
Phone (708) 798-2333
National Provider Directory
National Provider DirectoryLocations
3235 Vollmer Rd
Ste 139
Flossmoor, IL 60422
Phone (708) 798-2333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335916800000",
"number": "1750648408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 VOLLMER RD",
"address_2": "SUITE 139",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222013",
"telephone_number": "708-798-2333",
"fax_number": "708-798-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 VOLLMER RD",
"address_2": "SUITE 139",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222013",
"telephone_number": "708-798-2333",
"fax_number": "708-798-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS T. CHUNG M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-19",
"last_updated": "2012-05-02",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "708-798-2333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": "036.045939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.