Provider Demographics
NPI:1023031770
Name:RHEE, JUNG M (MD)
Entity Type:Individual
Prefix:DR
First Name:JUNG
Middle Name:M
Last Name:RHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 W ELM ST
Mailing Address - Street 2:STE 120
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-4010
Mailing Address - Country:US
Mailing Address - Phone:815-363-2020
Mailing Address - Fax:
Practice Address - Street 1:5400 W ELM ST
Practice Address - Street 2:STE 120
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4010
Practice Address - Country:US
Practice Address - Phone:815-363-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036090353 2Medicaid
WI82433900Medicaid
WI214660 K08790Medicare ID - Type Unspecified
WI82433900Medicaid