Active NPI
Gyeongmo Sohn
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- Chicago, IL
National Provider Identifier
1356792246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- License
- 036152246
- Practice address
- 251 E Huron St
Chicago, IL 60611 - Phone
- (806) 317-5557
- NPI assigned
- Jun 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | BP10056110 | TX | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 036152246 | IL | Primary |
Addresses
Primary practice location
251 E Huron St
Chicago, IL 60611
Mailing address
251 E Huron St
Chicago, IL 60611
Phone (806) 317-5557
Other practice location 1
3601 4th St
Stop 8321
Lubbock, TX 79430-8321
Phone (806) 743-2391
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 |
|---|---|---|---|
| 036152246 | IL | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| BP10056110 | TX | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593302400000",
"number": "1356792246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "806-317-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "806-317-5557"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St",
"address_2": "STOP 8321",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794308321",
"country_code": "US",
"telephone_number": "806-743-2391",
"fax_number": "806-743-5687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOHN",
"first_name": "GYEONGMO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-22",
"last_updated": "2020-06-28",
"certification_date": "2020-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "BP10056110",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "IL",
"license": "036152246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.