ETHAN UNGCHUSRI

CHICAGO, IL
NPI1437656683
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: IL  036171306)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-12
Last Update Date2024-09-05
Business Address
ETHAN UNGCHUSRI
5841 S MARYLAND AVE
CHICAGO, IL 60637
Phone number: 773-702-3550
Mailing Address
ETHAN UNGCHUSRI
150 HARVESTER DR STE 300
BURR RIDGE, IL 60527-5965
Phone number: