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NPI Code Detail

MEDICARE: DR. TUNG-HSI JOHN SUN MD

MEDICARE: DR. TUNG-HSI JOHN SUN MD
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
1207Q00000XFamily Medicine Physician036092634IL

General Provider Information

NPI Number : 1215917653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TUNG-HSI JOHN SUN MD
Provider Business Mailing Address
First Line : 101 SOUTH BROADWAY STREET
Second Line :
City : AURORA
State : IL
Zip : 60505-4276
Country : US
Telephone Number : 630-896-7900
Fax Number : 630-801-7809
Provider Business Practice Location Address
First Line : 101 SOUTH BROADWAY ST.
Second Line :
City : AURORA
State : IL
Zip : 60505-4276
Country : US
Telephone Number : 630-896-7900
Fax Number : 630-801-7809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 03/22/2012

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