IndividualActive
Ethan Ungchusri
NPI 1437656683 · Vascular & Interventional Radiology Physician · Chicago, IL
Provider details
- NPI number
- 1437656683
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 036171306 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
5841 S Maryland Ave
Chicago, IL 60637
Phone: (773) 702-3550
Approximate (ZIP-level) locationGet directions
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Additional practice locations (2)
- 1959 Ne Pacific StSeattle, WA 98195-0001Phone: (206) 543-3687
- 1959 Ne Pacific StSeattle, WA 98195-0001Phone: (206) 543-3687
Registry dates
- Enumerated
- 2018-04-12
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.