Juliana Yong Hae Chyu, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Practice address

278 Memorial Dr
Crystal Lake, IL 60014-6254

Phone

(815) 477-9858

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Crystal Lake Dermatology SC

  • Dermatology Physician
  • Crystal Lake, IL
  • NPI 1982777231
  NPD (past)
• Medical Surgical Dermatology, SC

  • Specialist
  • Berwyn, IL
  • NPI 1316014723
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609972124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 MEMORIAL DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146254",
            "telephone_number": "815-477-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 MEMORIAL DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146254",
            "telephone_number": "815-477-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHYU",
        "first_name": "JULIANA",
        "middle_name": "YONG HAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank R Christensen, AUDIOPROSTHOLOGIST
• Christina J Vocos PSYD PC
• Christina J. Levi O D P C
• Madison Chudik
• Sandeep Chunduri, MD
• Julie Ciero, M.S.SLP,CCC-L
• Katelyn P Ciszon, SLP/L
• City of Crystal Lake
• CL Pharmacy LLC
• CL-Surgi Center, SC

• Dermatology Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.