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Alexander Paul Sun

Surgery

Allopathic & Osteopathic Physicians

600 S Paulina St Ste 403, Chicago, IL 60612-3806

PECOS Enrollment

This provider is enrolled in PECOS as ALEXANDER SUN.

Based on the most recent information from CMS, provider Alexander Paul Sun is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1023576618
Provider Type
Individual
Full Name
Sun, Alexander Paul
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/4/2019
Last Updated
7/5/2019

Contact Information

Practice Location

600 S Paulina St Ste 403, Chicago, IL 60612-3806

(312) 942-7100

Unlisted Fax

Mailing Location

600 S Paulina St Ste 403, Chicago, IL 60612-3806

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 152.074671 Illinois
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Alexander Paul Sun

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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License

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