Individual
DR. ERIC DANIEL JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 865-2141
(219) 852-2502
Mailing address
4531 FOREST AVE, BROOKFIELD, IL 60513-2506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01078647A
IN
208M00000X
Hospitalist Physician
Primary
01078647A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01078647A
MEDICAL LICENSE
IN
05
—
300006031
—
IN
Enumeration date
06/24/2014
Last updated
01/12/2024
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