Organization Active NPI

Yonsei Pain Clinic

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1407137565
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011490 Issued in IL
Legal business name
YONSEI PAIN CLINIC
Practice address
4257 N Milwaukee Ave
Chicago, IL 60641-1642
Phone
(309) 235-7244
NPI assigned
Sep 2, 2011
Last updated
Oct 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Young Ki Son
Title
Owner
Phone
(309) 235-7244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011490 IL Primary

Addresses

Primary practice location

4257 N Milwaukee Ave
Chicago, IL 60641-1642

Mailing address

3604 74TH St
Moline, IL 61265-8015
Phone (309) 235-7244

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1407137565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 74TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658015",
            "telephone_number": "309-235-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411642",
            "telephone_number": "309-235-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONSEI PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "YOUNG KI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-235-7244"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011490",
            "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 Oct 24, 2011; 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.