| Dr John I Kung, MD | |
|
19801 Governors Highway, Suite 160, Flossmoor, IL 60422-1002 | |
| (708) 957-0505 | |
| (708) 957-0506 |
| Full Name | Dr John I Kung |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 31 Years |
| Location | 19801 Governors Highway, Flossmoor, Illinois |
| 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 |
|---|---|---|---|
| 1760483390 | NPI | - | NPPES |
| 200525750 | Medicaid | IN | |
| 200525750B | Medicaid | IN | |
| 036112354 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 01059694A (Indiana) | Secondary |
| 207X00000X | Orthopaedic Surgery | 36112354 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Ingalls Memorial Hospital | Harvey, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Orthopaedic And Hand Center Sc | 4284764440 | 6 |
| Entity Name | Premier Orthopaedic And Hand Center Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568602480 PECOS PAC ID: 4284764440 Enrollment ID: O20100615000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John I Kung, MD 19801 Governors Highway, Suite 160, Flossmoor, IL 60422-1002 Ph: (708) 957-0505 | Dr John I Kung, MD 19801 Governors Highway, Suite 160, Flossmoor, IL 60422-1002 Ph: (708) 957-0505 |
Venkat Seshadri, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 19801 Governors Hwy Ste 160, Flossmoor, IL 60422 Phone: 708-957-0505 Fax: 708-957-0506 | |
Joseph G Thometz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 19550 Governors Hwy Suite 1400, Primary Healthcare Associates, Sc, Flossmoor, IL 60422 Phone: 708-647-7565 Fax: 708-225-7671 | |
Dr. Neal J Labana, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 19801 Governors Hwy, Suite 160, Flossmoor, IL 60422 Phone: 708-957-0505 Fax: 708-957-0506 | |
Dr. George S Miz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 19550 Governors Hwy Ste 1400, Flossmoor, IL 60422 Phone: 708-647-7565 Fax: 708-225-7671 |