Individual
KYUNGSUK JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
315 W CARPENTER ST, CLINIC B, SPRINGFIELD, IL 62702
(217) 545-8000
(217) 545-1141
Mailing address
PO BOX 19678, SPRINGFIELD, IL 62794-9678
(217) 545-8000
(217) 545-1141
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036134301
IL
208M00000X
Hospitalist Physician
MD452317
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
05/25/2012
Last updated
05/12/2020
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