Prairie Psychiatry, Sc
NPI #1760563688 in Belleville, Illinois
Provider Information
- NPI Number
- 1760563688
- Entity Type
- Organization
- Organization Name
- Prairie Psychiatry, Sc
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 301 W LINCOLN ST
- Address 2
- SUITE 106
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1901
- Phone
- (618) 235-1582
Authorized Official
- Name
- DR. RANDY JOHN JUNG I, M.D.
- Title
- OWNER
- Phone
- (618) 235-1582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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