Kung, John I
Kung, John I is an individual health care provider with primary practice located at 19801 Governors Highway Suite 160, Flossmoor IL 60422-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kung, John I can be contacted via phone (708) 957-0505.Contact Information
Primary practice address
19801 Governors Highway Suite 160
Flossmoor IL 60422-1002
Phone: (708) 957-0505
Fax: (708) 957-0506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01059694A | Indiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 36112354 | Illinois |
Profile Details
| NPI number | 1760483390 |
|---|---|
| LBN Legal business name | Kung, John I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Dec 20th, 2021 - about 4 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 | 1760483390 | NPPES |
| Indiana | MEDICAID | 200525750 | |
| Indiana | MEDICAID | 200525750B | |
| Indiana | MEDICAID | 036112354 |
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