Tung, Ju Yung
Tung, Ju Yung is an sole proprietor health care provider with primary practice located at 16020 Harlem Ave , Tinley Park IL 60477-1612. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Tung, Ju Yung can be contacted via phone (708) 614-6849.Contact Information
Primary practice address
16020 Harlem Ave
Tinley Park IL 60477-1612
Phone: (708) 614-6849
Fax: (708) 614-6864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-009552 | Illinois |
Profile Details
| NPI number | 1497889992 |
|---|---|
| LBN Legal business name | Tung, Ju Yung |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jan 14th, 2019 - about 6 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 | 1497889992 | NPPES |
| Illinois | MEDICAID | 0460009552 |
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