Active NPI
Ning Sun, M.D., PHD.
- Neurology Physician
- Willowbrook, IL
National Provider Identifier
1124022900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Practice address
- 6833 Kingery Hwy
Willowbrook, IL 60527-5154 - Phone
- (630) 321-9313
- Fax
- (630) 321-9314
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | IL | Primary |
Addresses
Primary practice location
6833 Kingery Hwy
Willowbrook, IL 60527-5154
Mailing address
6833 Kingery Hwy
Willowbrook, IL 60527-5154
Phone (630) 321-9313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060531000022 | IL | Practitioner - Neurology | 2769493063 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1124022900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6833 KINGERY HWY",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605275154",
"telephone_number": "630-321-9313",
"fax_number": "630-321-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6833 KINGERY HWY",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605275154",
"telephone_number": "630-321-9313",
"fax_number": "630-321-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "NING",
"name_prefix": "Dr.",
"credential": "M.D., PHD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.