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Joseph Tienjet Gung
Student in an Organized Health Care Education/Training Program in North Chicago, Illinois
NPI 1407630502

Joseph Tienjet Gung is a Student in an Organized Health Care Education/Training Program based in North Chicago, IL. Joseph Tienjet Gung practices in North Chicago, IL. The NPI Number for Joseph Tienjet Gung is 1407630502 and holds a License No. (Illinois).

The current practice location address for Joseph Tienjet Gung is 3333 Green Bay Rd, North Chicago, IL and can be reached out via phone at 919-592-7037.

Location: 3333 Green Bay Rd, North Chicago, IL, 60064-3037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407630502
Provider Name
Joseph Tienjet Gung
Credential
Provider Entity Type
Individual
Gender
Male
Address
3333 Green Bay Rd, North Chicago, IL, 60064-3037
Phone Number
919-592-7037
Fax Number
Provider Enumeration Date
08/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3333 Green Bay Rd
City
North Chicago
State
Illinois
Zip
60064-3037
Phone Number
919-592-7037
Fax Number
person
Provider Business Mailing Address Details
Address
3333 Green Bay Rd
City
North Chicago
State
Illinois
Zip
60064-3037
Phone Number
919-592-7037
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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