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Ethan Ungchusri
Vascular & Interventional Radiology Physician in Chicago, Illinois
NPI 1437656683

Ethan Ungchusri is a Vascular & Interventional Radiology Physician based in Burr Ridge, IL and is specialized in Vascular & Interventional Radiology. Ethan Ungchusri practices in Chicago, IL. The NPI Number for Ethan Ungchusri is 1437656683 and holds a License No. (Illinois).

The current practice location address for Ethan Ungchusri is 5841 S Maryland Ave, Chicago, IL and can be reached out via phone at 773-702-3550. You can also correspond with Ethan Ungchusri through the mailing address at 180 HARVESTER DR STE 110, BURR RIDGE, IL - 60527-6686 (mailing address contact number: 773-702-1150).

Location: 5841 S Maryland Ave, Chicago, IL, 60527-6686
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Provider Profile Details
NPI Number
1437656683
Provider Name
Ethan Ungchusri
Credential
Provider Entity Type
Individual
Gender
Male
Address
5841 S Maryland Ave, Chicago, IL, 60527-6686
Phone Number
773-702-3550
Fax Number
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave
City
State
Zip
60637
Phone Number
773-702-3550
Fax Number
person
Provider Business Mailing Address Details
Address
5841 S Maryland Ave
City
State
Zip
60637
Phone Number
773-702-3550
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
125.073548 (Illinois)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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