Individual
DR. MARCIN JUNGIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1850 GATEWAY DR STE 103, SYCAMORE, IL 60178-3192
(815) 758-8671
(815) 756-4892
Mailing address
1850 GATEWAY DR STE 103, SYCAMORE, IL 60178-3192
(815) 758-8671
(815) 756-4892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125059120
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036137479
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
34.015434
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036137479
STATE LICENSE
IL
05
—
0464588
—
OH
Enumeration date
03/30/2011
Last updated
02/24/2026
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