Individual provider Active NPI

Eun Kyu Dong

  • Vascular Surgery Physician
  • Chicago Ridge, IL
National Provider Identifier
1598269367
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036.177750 Issued in IL
Practice address
10258 Southwest Hwy # a
Chicago Ridge, IL 60415-1361
Phone
(708) 346-9533
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036.177750 IL Primary

Addresses

Primary practice location

10258 Southwest Hwy # a
Chicago Ridge, IL 60415-1361

Mailing address

3803 Spring St # 400
Mount Pleasant, WI 53405-1660
Phone (262) 687-8774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250813001876 WI Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 3779835822 Reassigns benefits to 2 organizations
I20251126000195 IL Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Vascular Surgery 3779835822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery, Vascular Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians
Vascular Surgery Associates PLLCGroup PAC ID 0345678132, 7 clinicians
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians
Columbia St Marys Hospital Milwaukee IncGroup PAC ID 5890604722, 311 clinicians

Practice addresses (Care Compare)

100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800

10258 Southwest Hwy
Suite a
Chicago Ridge, IL 60415-1361
Phone (708) 346-9533

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 780-4111

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000

Hospital & facility affiliations

  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.177750ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic & Vascular Surgical Associates S C Vascular Surgery CurrentSince Jan 1, 2026 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Vascular Surgery CurrentSince Aug 1, 2025 Accepting new patients
Vascular Surgery Associates, PLLC Vascular Surgery CurrentSince Jan 1, 2026 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Aug 1, 2025 Accepting new patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Mar 1, 2026 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

10258 Southwest Hwy
Ste A
Chicago Ridge, IL 60415
Phone (708) 346-9533

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

1890 Silver Cross Blvd
Ste 375
New Lenox, IL 60451
Phone (708) 346-9533

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

2350 N Lake Dr
Ste 400
Milwaukee, WI 53211
Phone (414) 270-1633

3803 Spring St
Ste 400
Mount Pleasant, WI 53405
Phone (262) 687-8208

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: edong17905@uihealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1598269367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 SPRING ST # 400",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051660",
            "telephone_number": "262-687-8774",
            "fax_number": "262-299-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10258 SOUTHWEST HWY # A",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151361",
            "telephone_number": "708-346-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "EUN KYU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036.177750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

Verify at the official NPI Registry.