Jung, Hyunchul
Jung, Hyunchul is an individual health care provider with primary practice located at 1802 S. Mattis Avenue Orthopedics, Champaign IL 61821. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Jung, Hyunchul can be contacted via phone (217) 383-3355.Contact Information
Primary practice address
1802 S. Mattis Avenue Orthopedics
Champaign IL 61821
Phone: (217) 383-3355
Fax: (217) 383-4459
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036110555 | Illinois |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036110555 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036110555 | Illinois |
Profile Details
NPI number | 1255310629 |
---|---|
LBN Legal business name | Jung, Hyunchul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 12th, 2006 |
Last updated | May 22nd, 2015 - about 10 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 | 1255310629 | NPPES |
Illinois | Other | 036110555 | BC OF IL |
Illinois | MEDICAID | 036110555 | BC OF IL |
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