Provider Demographics
NPI:1912289646
Name:JUNG, SEUNG-HYUN (DC)
Entity Type:Individual
Prefix:DR
First Name:SEUNG-HYUN
Middle Name:
Last Name:JUNG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4830 N PULASKI RD
Mailing Address - Street 2:110
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-2844
Mailing Address - Country:US
Mailing Address - Phone:773-481-7760
Mailing Address - Fax:
Practice Address - Street 1:4830 N PULASKI RD
Practice Address - Street 2:110
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2844
Practice Address - Country:US
Practice Address - Phone:773-481-7760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor