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Organization

FRIEDRICH J. VON BUN, M.D.,S.C.

Active
Other names
Pekin Pulmonary Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRIEDRICH JOSEF VON BUN M.D. (OWNER)
(309) 353-5864
Entity
Organization

Contact information

Practice address
1327 EXECUTIVE CT, PEKIN, IL 61554-6096
(309) 353-5864
(309) 353-4894
Mailing address
1327 EXECUTIVE CT, PEKIN, IL 61554-6096
(309) 353-5864

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
24781673
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360812671
IL
01
1760489306
NPI
01
290008130
RAILROAD MEDICARE
01
944370
PTAN
Enumeration date
01/12/2011
Last updated
01/12/2011
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