Active NPI
Michael E Jung, D.C.
- Chiropractor
- Elgin, IL
National Provider Identifier
1578762324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-006180
- Practice address
- 750 Fletcher Dr
304
Elgin, IL 60123-4703 - Phone
- (847) 888-3131
- Fax
- (847) 888-3359
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-006180 | IL | Primary |
Addresses
Primary practice location
750 Fletcher Dr
304
Elgin, IL 60123-4703
Mailing address
750 Fletcher Dr
304
Elgin, IL 60123-4703
Phone (847) 888-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080811000514 | IL | Practitioner - Chiropractic | 2163596016 | Practice locations: Elgin, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-006180 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1578762324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 FLETCHER DR",
"address_2": "304",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234703",
"telephone_number": "847-888-3131",
"fax_number": "847-888-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 FLETCHER DR",
"address_2": "304",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234703",
"telephone_number": "847-888-3131",
"fax_number": "847-888-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-006180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.