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Contact Information

RANDY J JUNG, MD
301 W LINCOLN ST
SUITE 106
BELLEVILLE, IL62220-1901
 Phone: 618-235-1582
 Fax: 618-235-2473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for RANDY J JUNG · (Male)

NPI Number 1205917176
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2006
Last updated 04/28/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036085990
  • IL Medicaid 036085990
Hospital affiliation(s)
  • TOUCHETTE REGIONAL HOSPITAL INC - (Acute Care)
    5900 BOND AVENUE
    CENTREVILLE, IL 62207
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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