Provider Demographics
NPI:1386630986
Name:HAK SUNG CHUNG MD PHD SC
Entity Type:Organization
Organization Name:HAK SUNG CHUNG MD PHD SC
Other - Org Name:MIDWEST VISION & EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAK SUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:847-596-2300
Mailing Address - Street 1:1445 N HUNT CLUB RD
Mailing Address - Street 2:STE 303
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-2603
Mailing Address - Country:US
Mailing Address - Phone:847-596-2300
Mailing Address - Fax:847-596-5730
Practice Address - Street 1:1445 N HUNT CLUB RD
Practice Address - Street 2:STE 303
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-2603
Practice Address - Country:US
Practice Address - Phone:847-596-2300
Practice Address - Fax:847-596-5730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
I28633Medicare UPIN
IL212018Medicare ID - Type Unspecified