Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jae Ung Jung

Individual provider General Practice Dentistry · NPI 1023648664

Jae Ung Jung is a General Practice Dentistry in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

1905 W Springfield Ave
Champaign, IL 61821-3007
Phone: (888) 988-4066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019032475 (IL)

Record details

NPI number1023648664
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 23, 2020
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address2050 E Algonquin Rd Ste 610, Schaumburg, IL 60173-4166

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