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

Maxwell Chung

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730815101

Maxwell Chung is a Student in an Organized Health Care Education/Training Program in Oak Park, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

715 Lake St Ste 720
Oak Park, IL 60301-1416
Phone: (773) 312-3612
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730815101
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 28, 2022
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address441 Cedar Ave, Highland Park, IL 60035-4141

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