Provider Demographics
NPI:1427140128
Name:HONGS, ZEUNGEON MARK (MD)
Entity type:Individual
Prefix:MR
First Name:ZEUNGEON
Middle Name:MARK
Last Name:HONGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:68 AMBROGIO DRIVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031
Mailing Address - Country:US
Mailing Address - Phone:847-244-0401
Mailing Address - Fax:847-244-0445
Practice Address - Street 1:68 AMBROGIO DRIVE
Practice Address - Street 2:SUITE 103
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031
Practice Address - Country:US
Practice Address - Phone:847-244-0401
Practice Address - Fax:847-244-0445
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2010-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036059289208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036059289Medicare ID - Type Unspecified
C45688Medicare UPIN
IL692270Medicare ID - Type Unspecified