Mcjunkin, Jonathan Lee

Mcjunkin, Jonathan Lee is an individual health care provider with primary practice located at 3105 Fields South Dr , Champaign IL 61822-3743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mcjunkin, Jonathan Lee can be contacted via phone (217) 902-3277.

Contact Information

Primary practice address
3105 Fields South Dr Champaign IL 61822-3743
Phone: (217) 902-3277
Fax: (217) 383-4451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2011009453 Missouri
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036125895 Illinois

Profile Details

NPI number 1336218643
LBN Legal business name Mcjunkin, Jonathan Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Feb 26th, 2021 - about 3 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 1336218643 NPPES
Illinois MEDICAID ENROLLED
Illinois MEDICAID 1336218643

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