Individual
DR. JASON TUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2879 95TH ST STE 179, NAPERVILLE, IL 60564-9008
(630) 305-0789
Mailing address
2879 95TH ST STE 179, NAPERVILLE, IL 60564-9008
(630) 305-0789
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010098
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010098
—
IL
Enumeration date
07/15/2008
Last updated
02/26/2021
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