Active NPI
Larry D Yun, DC
- Chiropractor
- Oak Park, IL
National Provider Identifier
1376731109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009569
- Practice address
- 918 Madison St
Oak Park, IL 60302 - Phone
- (630) 920-4670
- Fax
- (630) 920-4687
- NPI assigned
- Oct 5, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 038-009569 | IL | |
| Chiropractor | 111N00000X | 038-009569 | IL | Primary |
Addresses
Primary practice location
918 Madison St
Oak Park, IL 60302
Mailing address
1000 Burr Ridge Pkwy Ste 200
Burr Ridge, IL 60527-0845
Phone (630) 920-4670
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001634109 | Other | IL | BC/BS PROVIDER NUMBER |
| K07127 | Other | IL | MEDICARE PROVIDER NUMBER |
| 7733360 | Other | IL | AETNA PROVIDER NUMBER |
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 |
|---|---|---|---|
| 038-009569 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omega Spine Rehab SC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Morton Grove, IL
- NPI 1316052079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1376731109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BURR RIDGE PKWY STE 200",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270845",
"telephone_number": "630-920-4670",
"fax_number": "630-920-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 MADISON ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60302",
"telephone_number": "630-920-4670",
"fax_number": "630-920-4687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUN",
"first_name": "LARRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "038-009569",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "0001634109",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "K07127",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7733360",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.