Organization Active NPI

John P. Hung, M.D.,S.C.

  • Otolaryngic Allergy Physician
  • Bourbonnais, IL
National Provider Identifier
1811150964
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
036052305 Issued in IL
Legal business name
JOHN P. HUNG, M.D.,S.C.
Practice address
19 Heritage PLZ
Suite 210
Bourbonnais, IL 60914-1369
Phone
(815) 932-1516
Fax
(815) 932-9412
NPI assigned
Jul 9, 2008
Last updated
Jan 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sharon M. Merten
Title
Office Manager
Phone
(815) 932-1516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 036052305 IL Primary

Addresses

Primary practice location

19 Heritage PLZ
Suite 210
Bourbonnais, IL 60914-1369

Mailing address

19 Heritage PLZ
Suite 210
Bourbonnais, IL 60914-1369
Phone (815) 932-1516

National Provider Directory

National Provider Directory

Locations

19 Heritage Dr
Ste 210
Bourbonnais, IL 60914
Phone (815) 932-1516

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1811150964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HERITAGE PLZ",
            "address_2": "SUITE 210",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141369",
            "telephone_number": "815-932-1516",
            "fax_number": "815-932-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HERITAGE PLZ",
            "address_2": "SUITE 210",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141369",
            "telephone_number": "815-932-1516",
            "fax_number": "815-932-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. HUNG, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "MERTEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-932-1516",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "IL",
            "license": "036052305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.