Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Pei Chang Chung, MD

Individual provider Surgery Physician · NPI 1669609988

Dr. Pei Chang Chung, MD is a General Surgery in Maryville, Illinois. Qualified in 2004, 22 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6810 State Route 162 Ste 100
Maryville, IL 62062-8560
Phone: (618) 288-3616
Fax: (618) 288-3647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036.129090 (IL)

Record details

NPI number1669609988
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2009
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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