Jun, Jung I
Jun, Jung I is an sole proprietor health care provider with primary practice located at 2850 W 95Th St Suite 11, Evergreen Park IL 60805-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Jun, Jung I can be contacted via phone (708) 423-3495.Contact Information
Primary practice address
2850 W 95Th St Suite 11
Evergreen Park IL 60805-2735
Phone: (708) 423-3495
Fax: (708) 423-4411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036044252 | Illinois |
Profile Details
| NPI number | 1447291422 |
|---|---|
| LBN Legal business name | Jun, Jung I |
| Credentials | MD SC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Mar 14th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447291422 | NPPES |
| Illinois | MEDICAID | 036044252 |
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