Individual
DAVID YOUNGSIK JUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2604 DEMPSTER ST, SUITE #403, PARK RIDGE, IL 60068-8412
(847) 627-5206
(847) 627-5207
Mailing address
2604 DEMPSTER ST, SUITE #403, PARK RIDGE, IL 60068-8412
(847) 627-5206
(847) 627-5207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036078305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078305
—
IL
01
—
14D0973005
CLIA #
IL
Enumeration date
07/20/2006
Last updated
12/09/2021
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