Jerry Chhun
NPI #1356185425 in Bloomington, Illinois
Provider Information
- NPI Number
- 1356185425
- Entity Type
- Individual
- Name
- Jerry Chhun
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 24, 2024
- Last Updated
- Jun 24, 2024
Practice Location
- Address
- 2200 E WASHINGTON ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4364
- Phone
- (309) 665-5996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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