Provider Demographics
NPI:1487909453
Name:CHONG, YON J (MD, MPH, MBA)
Entity type:Individual
Prefix:
First Name:YON
Middle Name:J
Last Name:CHONG
Suffix:
Gender:F
Credentials:MD, MPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 NORTH 30TH ST
Mailing Address - Street 2:CREIGHTON UNIVERSITY-DEPARTMENT OF PSYCHIATRY
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131
Mailing Address - Country:US
Mailing Address - Phone:402-552-6222
Mailing Address - Fax:
Practice Address - Street 1:601 NORTH 30TH ST
Practice Address - Street 2:CREIGHTON UNIVERSITY-DEPARTMENT OF PSYCHIATRY
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131
Practice Address - Country:US
Practice Address - Phone:402-552-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE67822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry