Active NPI
Jeong Ho Ryu, MD
- Neurology Physician
- Chicago, IL
National Provider Identifier
1730163189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Practice address
- 3258 W Lawrence Ave
Chicago, IL 60625-5223 - Phone
- (773) 817-8688
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | IL | Primary |
Addresses
Primary practice location
3258 W Lawrence Ave
Chicago, IL 60625-5223
Mailing address
6785 County Line LN
Burr Ridge, IL 60527-5726
Phone (773) 817-8688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31600945 | Other | IL | BCBS |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041108001271 | IL | Practitioner - Neurology | 9436112679 | Practice locations: Chicago, IL; Des Plaines, IL; Mt Prospect, IL; Niles, IL; Northbrook, IL; Park Ridge, IL; Skokie, IL; Arlington Heights, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1460 Renaissance Dr
Suite 402
Park Ridge, IL 60068-1349
Phone (630) 280-4576
3258 W Lawrence Ave
Chicago, IL 60625-5223
Phone (773) 866-1930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Past | Accepting new patients | |
| Cimpar, S.C. | Past | Accepting new patients | |
| Stat Cardiologist Inc | Past | Accepting new patients | |
| Annie John, M.D.S.C. | Past | Accepting new patients | |
| Ez Pain & Rehab, Inc | Past | Accepting new patients | |
| Ez Spine and Joint Rehab Inc. | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Geriatric Medicine (Internal Medicine) Physician
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- NPI 1114909363
-
- Internal Medicine Physician
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- NPI 1467496224
-
- Physical Therapist
- Northbrook, IL
- NPI 1316344898
-
- Physical Therapist
- Northbrook, IL
- NPI 1124809280
-
- Cardiovascular Disease Physician
- Schaumburg, IL
- NPI 1528596350
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730163189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6785 COUNTY LINE LN",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275726",
"telephone_number": "773-817-8688",
"fax_number": "773-866-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3258 W LAWRENCE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606255223",
"telephone_number": "773-817-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYU",
"first_name": "JEONG",
"middle_name": "HO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31600945",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- 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.