Provider Demographics
NPI:1003011941
Name:JUNG, EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:JUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10400 SOUTHWEST HWY LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-2394
Mailing Address - Country:US
Mailing Address - Phone:708-581-7308
Mailing Address - Fax:
Practice Address - Street 1:1115 S SUNSET AVE STE 100
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3940
Practice Address - Country:US
Practice Address - Phone:626-225-2111
Practice Address - Fax:626-631-0952
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2024-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00762712085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology