| Dr Eric Daniel Jung, MD | |
|
24 Joliet St, Dyer, IN 46311-1705 | |
| (219) 865-2141 | |
| (219) 852-2502 |
| Full Name | Dr Eric Daniel Jung |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 11 Years |
| Location | 24 Joliet St, Dyer, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922413335 | NPI | - | NPPES |
| 01078647A | Other | IN | MEDICAL LICENSE |
| 300006031 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01078647A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01078647A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Edward Hospital | Naperville, IL | Hospital |
| Swedish Covenant Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Edward Health Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Daniel Jung, MD 4531 Forest Ave, Brookfield, IL 60513-2506 Ph: () - | Dr Eric Daniel Jung, MD 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 865-2141 |
Chao Gong, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-852-2502 | |
David B Lemke, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 |