Basic Information
Provider Information
NPI: 1346532371
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEON
FirstName: ERIC
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 225 E CHICAGO AVE
Address2:  
City: CHICAGO
State: IL
PostalCode: 606112991
CountryCode: US
TelephoneNumber: 3122274000
FaxNumber:  
Practice Location
Address1: 225 EAST CHICAGO AVENUE
Address2: ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO
City: CHICAGO
State: IL
PostalCode: 606112991
CountryCode: US
TelephoneNumber: 3122274000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/10/2011
LastUpdateDate: 10/14/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP3000X036134593ILY Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology

No ID Information.


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