Chae, Sanders Honggook

Chae, Sanders Honggook is an individual health care provider with primary practice located at 1340 Charles St Ste 300 , Rockford IL 61104-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Chae, Sanders Honggook can be contacted via phone (779) 696-5888.

Contact Information

Primary practice address
1340 Charles St Ste 300 Rockford IL 61104-2200
Phone: (779) 696-5888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME107484 Florida
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X ME107484 Florida
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036-155107 Illinois

Profile Details

NPI number 1528186004
LBN Legal business name Chae, Sanders Honggook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Apr 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528186004 NPPES
Florida MEDICAID 002220600
Florida Other 149FY

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