Provider Demographics
NPI:1093748469
Name:CHUANG, MARC SHI-JEY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:SHI-JEY
Last Name:CHUANG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4922 S CORNELL AVE
Mailing Address - Street 2:UNIT J
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-3079
Mailing Address - Country:US
Mailing Address - Phone:312-802-0221
Mailing Address - Fax:501-423-4861
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:MC 6038
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1443
Practice Address - Country:US
Practice Address - Phone:773-702-6105
Practice Address - Fax:773-702-1001
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
IL036-113418208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology