Organization Active NPI

Thomas T. Chung M.D. P.C.

  • Specialist
  • Flossmoor, IL
National Provider Identifier
1750648408
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036.045939 Issued in IL
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

Updated by the provider on May 2, 2012

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.