| Doctor Name: | BOW YOUNG CHUNG |
| NPI Number: | 1073809570 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 125.059323 |
| Business Practice Address: | 5841 S Maryland Ave # Mc1052 Univ Of Chicago Medical Center, Dept Of Gme Rm J141 Chicago, IL - 606371447 |
| Business Phone Number: | 7737021234 |
| Business Fax Number: | |
| Mailing Address: | 5841 S Maryland Ave, CHICAGO |
| State: | IL |
| Postal Code: | 606371447 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2011 |
| NPI Last Update Date: | 07/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 125.059323 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |