National Provider Identifier Database

ETHAN UNGCHUSRI
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


Contact Information

ETHAN UNGCHUSRI
5841 S MARYLAND AVE
CHICAGO, IL60637
Phone: 773-702-3550
Fax:
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for ETHAN UNGCHUSRI

NPI Number 1437656683
Credentials
Entity Individual
Enumeration date 04/12/2018
Last updated 09/05/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • IL License #: 036171306
Hospital affiliation n/a

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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