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Contact Information

PEI CHANG CHUNG, MD
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL62062-8560
 Phone: 618-288-3616
 Fax: 618-288-3647
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PEI CHANG CHUNG · (Male)

NPI Number 1669609988
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2009
Last updated 04/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.129090
Hospital affiliation(s)
  • ANDERSON HOSPITAL - (Acute Care)
    6800 STATE ROUTE 162
    MARYVILLE, IL 62062
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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