Organization
JUNG IL JUN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNG I JUN MD (PRESIDENT)
(708) 423-3495
Entity
Organization
Contact information
Practice address
2850 W 95TH ST, SUITE 11, EVERGREEN PARK, IL 60805-2735
(708) 423-3495
(708) 423-4411
Mailing address
2850 W 95TH ST, SUITE 11, EVERGREEN PARK, IL 60805-2735
(708) 423-3495
(708) 423-4411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036044252
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044252
—
IL
Enumeration date
03/14/2011
Last updated
03/14/2011
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