Individual
JOHN P HUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 HERITAGE PLAZA, SUITE 210, BOURBONNAIS, IL 60914-1369
(815) 932-1516
(815) 932-9412
Mailing address
19 HERITAGE PLAZA, SUITE 210, BOURBONNAIS, IL 60914-1369
(815) 932-1516
(815) 932-9412
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
036052305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041128967
—
IL
01
—
4600170
BCBS
IL
Enumeration date
11/13/2006
Last updated
06/05/2008
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