Active NPI
Dong Kyu Jung, DC
- Chiropractor
- Arlington Heights, IL
National Provider Identifier
1013109040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38011007
- Practice address
- 637 E Golf Rd
Suite 208
Arlington Heights, IL 60005 - Phone
- (847) 357-8770
- Fax
- (847) 357-8771
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38011007 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
637 E Golf Rd
Suite 208
Arlington Heights, IL 60005
Mailing address
637 E Golf Rd
Suite 208
Arlington Heights, IL 60005
Phone (847) 357-8770
Other names 1
- Mr. Kyu Jung
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071001000648 | IL | Practitioner - Chiropractic | 8820183270 | Practice locations: Arlington Heights, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
637 E Golf Rd
Arlington Heights, IL 60005-4070
Phone (847) 357-8770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38011007 | IL | MD | Chiropractor |
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- IL HMO C-SNP
- IL PPO Downstate
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1013109040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 E GOLF RD",
"address_2": "SUITE 208",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60005",
"telephone_number": "847-357-8770",
"fax_number": "847-357-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 E GOLF RD",
"address_2": "SUITE 208",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60005",
"telephone_number": "847-357-8770",
"fax_number": "847-357-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "DONG",
"middle_name": "KYU",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "38011007",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYU",
"last_name": "JUNG",
"prefix": "MR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.