# FRIEDRICH J. VON BUN, M.D.,S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pekin Pulmonary Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942505664
- **Authorized official:** DR. FRIEDRICH JOSEF VON BUN M.D. (OWNER)
- **Authorized official phone:** (309) 353-5864

## Contact information

- **Practice address:** 1327 EXECUTIVE CT, PEKIN, IL 61554-6096
- **Practice address phone:** (309) 353-5864
- **Practice address fax:** (309) 353-4894
- **Mailing address:** 1327 EXECUTIVE CT, PEKIN, IL 61554-6096
- **Mailing address phone:** (309) 353-5864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 24781673 | IL | Yes |

## Other

- **Enumeration date:** 01/12/2011
- **Last updated:** 01/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0360812671 | — | IL |
| 01 | — | 1760489306 | NPI | — |
| 01 | — | 290008130 | RAILROAD MEDICARE | — |
| 01 | — | 944370 | PTAN | — |