Jaesun Ma, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013044 Issued in IL

Practice address

1324 E Ogden Ave Ste 100
Naperville, IL 60563-2347

Phone

(630) 718-1111

Fax

(630) 718-1110

NPI assigned

Jul 29, 2015

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pain Stop Chiropractic Inc

  dba Naperville Wellness and Salt cave

  • Chiropractor
  • Naperville, IL
  • NPI 1548912835
  Medicare reassignment NPD Authorized official
• First Integrated Medical

  • General Practice Physician
  • Naperville, IL
  • NPI 1700751583
  NPD Authorized official
• Pain Stop Chiromassage LTD.

  • Chiropractor
  • Chicago, IL
  • NPI 1639437817
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1043695224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 E OGDEN AVE STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632347",
            "telephone_number": "630-718-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 E OGDEN AVE STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632347",
            "telephone_number": "630-718-1111",
            "fax_number": "630-718-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606229148",
            "country_code": "US",
            "telephone_number": "773-342-2081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MA",
        "first_name": "JAESUN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009530",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Michael Forutan MD SC
• M Sadrameli DMD LLC (Smiles of Naperville)
• M. Mark McKee, Psy.D. & Associates, PC
• M2L Corp (TRLI Optics)
• Ma Logistics LLC
• Magdalena Maani, PHARMD
• Andrew M Macatula, DPT
• Adam Nicholas Macek, D.C.
• Diane Marie Mach, DDS
• Phillip C Mach, DDS

• Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.