Provider Demographics
NPI:1639754443
Name:CHUNG, KATHERINE YUN-MEI (MS, RDN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:YUN-MEI
Last Name:CHUNG
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 SIGMUND RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1338
Mailing Address - Country:US
Mailing Address - Phone:917-502-6995
Mailing Address - Fax:
Practice Address - Street 1:728 SIGMUND RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1338
Practice Address - Country:US
Practice Address - Phone:917-502-6995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-12
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164008375133N00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist