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NPI Code Detail

MEDICARE: MR. JE JUNG UHM PHARMD

MEDICARE:  MR. JE JUNG  UHM  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051290215IL

General Provider Information

NPI Number : 1689021149
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JE JUNG UHM PHARMD
Provider Business Mailing Address
First Line : 5516 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-1214
Country : US
Telephone Number : 773-784-7348
Fax Number :
Provider Business Practice Location Address
First Line : 5516 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-1214
Country : US
Telephone Number : 773-784-7348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2016
Last Update Date : 05/14/2016

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Directions to “ MR. JE JUNG UHM PHARMD” Practice Location

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