Look up the most recent NPI and PECOS records

Minki Jung

Internal Medicine

Allopathic & Osteopathic Physicians

1950 W Polk, Chicago, IL 60612

PECOS Enrollment

Based on the most recent information from CMS, provider Minki Jung is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1659003499
Provider Type
Individual
Full Name
Jung, Minki
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/29/2022
Last Updated
10/11/2022

Contact Information

Practice Location

1950 W Polk, Chicago, IL 60612

(312) 864-7000

Unlisted Fax

Mailing Location

1950 W Polk St Fl 6, Chicago, IL 60612-3723

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125080193 Illinois

Minki Jung

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mohammed, Abdul

Herrera Mercedes, Sarah Massiel

Battikh, Naim

Rao, Sheetal Khedkar

Da Silva, Angela Cristiane

Shilbayeh, Abdul-Rahim Ziyad Abdul-Rahim

Ekpenyong, Andem E

Nauman, Ahmad

Kishore, Suchita

Arikawa, Kinji