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1023648664
JAE UNG JUNG
CHAMPAIGN, IL
NPI
1023648664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019032475)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
JAE UNG JUNG
1905 W SPRINGFIELD AVE
CHAMPAIGN, IL 61821-3007
Phone number: 888-988-4066
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Mailing Address
JAE UNG JUNG
2050 E ALGONQUIN RD STE 610
SCHAUMBURG, IL 60173-4166
Phone number:
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