Provider Demographics
NPI:1699793943
Name:JUNG, JOHN W (DC, PHD, FIAMA)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:JUNG
Suffix:
Gender:M
Credentials:DC, PHD, FIAMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 KAINER AVE
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-4646
Mailing Address - Country:US
Mailing Address - Phone:847-226-8172
Mailing Address - Fax:224-544-5792
Practice Address - Street 1:303 KAINER AVE
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-4646
Practice Address - Country:US
Practice Address - Phone:847-226-8172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.006609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor