Individual
DAVID JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3505 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-0300
(815) 639-0300
Mailing address
7702 N ALPINE RD, LOVES PARK, IL 61111-3107
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.077480
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2021
Last updated
09/11/2024
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