Provider Demographics
NPI:1851349435
Name:CHUNG, STEVE YUNYOUNG (MD)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:YUNYOUNG
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 EAST FIRST STREET
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:IL
Mailing Address - Zip Code:61362
Mailing Address - Country:US
Mailing Address - Phone:816-664-5367
Mailing Address - Fax:815-664-5204
Practice Address - Street 1:600 EAST FIRST STREET
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:IL
Practice Address - Zip Code:61362
Practice Address - Country:US
Practice Address - Phone:815-664-5367
Practice Address - Fax:815-664-5204
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK19660Medicare PIN
I36964Medicare UPIN