Hyeju Jang, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209014349 Issued in IL

Practice address

12910 S Seneca Rd
Palos Heights, IL 60463-2170

Phone

(708) 586-2530

Fax

(708) 448-5505

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1659822443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 S SENECA RD",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632170",
            "telephone_number": "708-586-2530",
            "fax_number": "708-448-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 S SENECA RD",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632170",
            "telephone_number": "708-586-2530",
            "fax_number": "708-448-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "HYEJU",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209014349",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95003935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James a Coglianese DDS Ms LTD
• James E. McCormick, D.M.D., M.S., LTD. (Contemporary Endodontics)
• James R Schulte DDS
• Lee Merle Jameson, D.D.S.
• Gwendolyn A. Janecek, APRN, CRNA
• Janis a Gumpel MD SC
• Anna Jasiewicz, PSY.D.
• Nancy Javior, OTR
• Jeanette K. Fefles LTD. (Fefles Family Chiropractic Inc.)
• Bethany Mary Jengic, MD

• Adult Health Nurse Practitioner in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.