Young Byun, M.D.,S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1775 Walters Ave
Northbrook, IL 60062-4591

Phone

(874) 513-6899

NPI assigned

Mar 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michael Byun Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 9, 2014 through Jun 9, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710011598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 WALTERS AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624591",
            "telephone_number": "874-513-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 WALTERS AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624591",
            "telephone_number": "874-513-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYUN",
        "first_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.,S.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "BYUN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Blair Butler, M. ED.
• Nate Buursma
• Lindsay Buvel, LPC
• Bvgmedical PLLC
• Eleanor Byrd
• April Victoria Cabrera
• Darla Cabrera, LPC
• Catherine Rose Cabri
• Krys Elan Cagas
• Yuwei Cai

• Specialist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.