Naperville Medical Group Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NAPERVILLE MEDICAL GROUP CORPORATION

Practice address

454 W Boughton Rd Ste C
Bolingbrook, IL 60440-1378

Phone

(312) 823-3469

Fax

(630) 759-4505

NPI assigned

Oct 19, 2010

Last updated

Jan 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sijun Yang Yang Sr., M.D.

Title

Director

Phone

(630) 416-3191

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sijun Yang, MD

  • Internal Medicine Physician
  • Bolingbrook, IL
  • NPI 1962653568
  Medicare reassignment NPD
• Byoung O Kim, MD

  • General Practice Physician
  • Bolingbrook, IL
  • NPI 1811063423
  NPD (past)

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1639489057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 LITTLE BERRY CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651751",
            "telephone_number": "630-416-3191",
            "fax_number": "630-416-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W BOUGHTON RD STE C",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401378",
            "telephone_number": "312-823-3469",
            "fax_number": "630-759-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE MEDICAL GROUP CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "SIJUN YANG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-416-3191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Naperville",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Naperville",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Naperville",
            "address_1": "454 W Boughton Rd Ste C",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604401378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
• Mynt Dental Bolingbrook LLC
• Francis Sangyoon Nahm, DDS
• Sneha Bakulesh Naik, D.D.S
• Naperbrook Medical Center
• Nathan R. Fisher, D.C., S.C. (Achieve Health and Wellness)
• Natural Chiropractic Healing
• Jacqueline M Navarro
• Jerrid Neal, LPC
• Lorri L Neeley, DEVELOPMENTAL THERAP

• Internal Medicine Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.