Individual provider Active NPI

Jung H Moon, DPM

  • Podiatrist
  • Schaumburg, IL
National Provider Identifier
1669441689
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-004899 Issued in IL
Practice address
1320 Tower Rd Ste 144
Schaumburg, IL 60173-4309
Phone
(847) 573-1157
Fax
(224) 513-5458
NPI assigned
Mar 14, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-004899 IL Primary

Addresses

Primary practice location

1320 Tower Rd Ste 144
Schaumburg, IL 60173-4309

Mailing address

1320 Tower Rd
Schaumburg, IL 60173-4309
Phone (847) 573-1157

Other identifiers 1

IdentifierTypeStateIssuer
4932398OtherILBCBSIL

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000369 IL Practitioner - Podiatry 8426001728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004899ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Moon's Multi Specialty Clinic, SC Podiatrist CurrentSince Jan 1, 2005 Accepting new patients

Locations

1320 Tower Rd
Schaumburg, IL 60173
Phone (847) 573-1157

1320 Tower Rd
Ste 144
Schaumburg, IL 60173
Phone (847) 573-1157

270 Center Dr
Ste 120
Vernon Hills, IL 60061
Phone (847) 200-1002

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1669441689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 TOWER RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734309",
            "telephone_number": "847-573-1157",
            "fax_number": "888-467-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 TOWER RD STE 144",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734309",
            "telephone_number": "847-573-1157",
            "fax_number": "224-513-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "JUNG",
        "middle_name": "H",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "4932398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.