Individual
DR. HYUNCHUL JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 S. MATTIS AVENUE, ORTHOPEDICS, CHAMPAIGN, IL 61821
(217) 383-3355
(217) 383-4459
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036110555
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036110555
IL
207Q00000X
Family Medicine Physician
036110555
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036110555
BC OF IL
IL
05
—
036110555
—
IL
Enumeration date
01/12/2006
Last updated
05/22/2015
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