Stella J Jeong

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070.026006 Issued in IL

Practice address

1516 N Bosworth Ave Apt 3
Chicago, IL 60642-2488

Phone

(469) 328-3892

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

90.43 of 100Reported as group

Quality

92.42

Improvement activities

40

Cost

72.83

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1104522341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 N BOSWORTH AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422488",
            "telephone_number": "469-328-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 N BOSWORTH AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422488",
            "telephone_number": "469-328-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "STELLA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070.026006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taejin Jeon, DC
• Young E Jeon
• Anna B Jeong, MD
• Michelle Yunjee Jeong
• Rachel Jeong, PA
• Yunseo Jeong, M.D.
• Tertia Abigail Jeppson
• Ernest Jercinovic, D.D.S.
• Ibi Jessica Jeremiah, LCSW
• Jeremy Bonsol,LLC

• All providers in Chicago, IL
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.