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NPI Code Detail

MEDICARE: MS. JUDY JUNG RPH

MEDICARE: MS. JUDY JUNG RPH
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
1183500000XPharmacist051.287137IL

General Provider Information

NPI Number : 1154606416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDY JUNG RPH
Provider Business Mailing Address
First Line : 4830 GRAND AVE
Second Line :
City : GURNEE
State : IL
Zip : 60031-2618
Country : US
Telephone Number : 874-766-2258
Fax Number : 847-662-5802
Provider Business Practice Location Address
First Line : 4830 GRAND AVE
Second Line :
City : GURNEE
State : IL
Zip : 60031-2618
Country : US
Telephone Number : 874-766-2258
Fax Number : 847-662-5802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2011
Last Update Date : 10/19/2011

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Directions to “ MS. JUDY JUNG RPH” Practice Location

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