Individual
DR. JOHN I KUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19801 GOVERNORS HIGHWAY, SUITE 160, FLOSSMOOR, IL 60422-1002
(708) 957-0505
(708) 957-0506
Mailing address
19801 GOVERNORS HIGHWAY, SUITE 160, FLOSSMOOR, IL 60422-1002
(708) 957-0505
(708) 957-0506
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01059694A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
36112354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112354
—
IL
05
—
200525750
—
IN
05
—
200525750B
—
IN
Enumeration date
08/04/2005
Last updated
12/20/2021
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