Jung, Randy John

Jung, Randy John is an individual health care provider with primary practice located at 301 W Lincoln St Suite 106, Belleville IL 62220-1901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Jung, Randy John can be contacted via phone (618) 235-1582.

Contact Information

Primary practice address
301 W Lincoln St Suite 106 Belleville IL 62220-1901
Phone: (618) 235-1582
Fax: (618) 235-2473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036085990 Illinois
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 036085990 Illinois

Profile Details

NPI number 1205917176
LBN Legal business name Jung, Randy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Apr 28th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205917176 NPPES
Illinois MEDICAID 036085990

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