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Contact Information

KRISTINA M JUNG
1112 MAPLEWOOD LN
WATERLOO, IL62298-2797
 Phone: 618-604-3974
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetric, Inpatient

163WX0003X
Indicates primary specialty

NPI Profile & details for KRISTINA M JUNG · (Female)

NPI # 1558215632
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2026
Last updated 02/24/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2010019358
Hospital affiliation(s) Not Available
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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