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Ethan Ungchusri — NPI 1437656683, Chicago, IL | NPI Central

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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

Vascular & Interventional Radiology PhysicianPrimary2085R0204XLicense 036171306 (IL)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

5841 S Maryland Ave

Chicago, IL 60637

Phone: (773) 702-3550

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

150 Harvester Dr Ste 300

Burr Ridge, IL 60527-5965

Additional practice locations (2)

1959 Ne Pacific St
Seattle, WA 98195-0001
Phone: (206) 543-3687
1959 Ne Pacific St
Seattle, WA 98195-0001
Phone: (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.