Active NPI
Minsook DO Kroon, D.C.
- Chiropractor
- Morton Grove, IL
National Provider Identifier
1063679348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011066
- Practice address
- 6021 W Dempster
Morton Grove, IL 60053 - Phone
- (847) 470-0778
- Fax
- (847) 470-0779
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011066 | IL | Primary |
Addresses
Primary practice location
6021 W Dempster
Morton Grove, IL 60053
Mailing address
6021 W Dempster
Morton Grove, IL 60053
Phone (847) 470-0778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038011066 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1063679348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6021 W DEMPSTER",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "60053",
"telephone_number": "847-470-0778",
"fax_number": "847-470-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 W DEMPSTER",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "60053",
"telephone_number": "847-470-0778",
"fax_number": "847-470-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROON",
"first_name": "MINSOOK",
"middle_name": "DO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.