Herbert Jun

Primary specialty

DentistTaxonomy code 122300000X

License

019.031820 Issued in IL

Practice address

1307 E Rand Rd
Arlington Heights, IL 60004

Phone

(847) 392-4422

NPI assigned

Mar 11, 2018

Last updated

Jun 22, 2023By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Whitney Behm DMD, LLC

  • Dental Clinic/Center
  • Woodstock, IL
  • NPI 1417564923
  NPD
• Edp of Illinois P.C

  dba Affordable Dental of Illnois

  • Dental Clinic/Center
  • Dupo, IL
  • NPI 1154712784
  NPD (past)

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

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1124521638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 N OKETO AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143113",
            "telephone_number": "651-470-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E RAND RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-392-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151827",
            "country_code": "US",
            "telephone_number": "608-251-3535",
            "fax_number": "608-251-5390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 Main St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600983214",
            "country_code": "US",
            "telephone_number": "815-337-1932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13030 Military Rd S",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981683085",
            "country_code": "US",
            "telephone_number": "206-839-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUN",
        "first_name": "HERBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-11",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002088-15",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jsa of Illinois PC
• Lisa Carmen Juarez, MD
• Juergens Chiropractic PC
• Tiffany Rae Juergens, D.C.
• Marlou Jumamil, P.T.
• Dong Kyu Jung, DC
• Jura Adams, M.D., LTD.
• Logan Just, MOT, OTR/L
• Maggie Jutla, RN
• K J Kohan DDS LTD

• Dentist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.