MEDICARE: DR. PATRICK LYNN JUNG M.D.

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
1	2084P0800X	Psychiatry Physician	D0086460	MD
2	2084P0800X	Psychiatry Physician	036167507	IL

General Provider Information

NPI Number	:	1336501568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK LYNN JUNG M.D.

Provider Business Mailing Address
First Line	:	1 MEDICAL CENTER DR
Second Line	:
City	:	GALENA
State	:	IL
Zip	:	61036-8118
Country	:	US
Telephone Number	:	815-777-1340
Fax Number	:

Provider Business Practice Location Address
First Line	:	827 LINDEN AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21201-4606
Country	:	US
Telephone Number	:	410-225-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2016
Last Update Date	:	06/15/2026

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