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Maxwell Chung
Mental Health Counselor in Oak Park, Illinois
NPI 1730815101

Maxwell Chung is a Mental Health Counselor based in Highland Park, IL and is specialized in Mental Health. Maxwell Chung practices in Oak Park, IL. The NPI Number for Maxwell Chung is 1730815101 and holds a License No. (Illinois).

The current practice location address for Maxwell Chung is 715 Lake St Ste 720, Oak Park, IL and can be reached out via phone at 773-312-3612.

Location: 715 Lake St Ste 720, Oak Park, IL, 60035-4141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730815101
Provider Name
Maxwell Chung
Credential
Provider Entity Type
Individual
Gender
Male
Address
715 Lake St Ste 720, Oak Park, IL, 60035-4141
Phone Number
773-312-3612
Fax Number
Provider Enumeration Date
07/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
715 Lake St Ste 720
City
Oak Park
State
Illinois
Zip
60301-1416
Phone Number
773-312-3612
Fax Number
person
Provider Business Mailing Address Details
Address
715 Lake St Ste 720
City
Oak Park
State
Illinois
Zip
60301-1416
Phone Number
773-312-3612
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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