Individual provider Active NPI

Jeong Ho Ryu, MD

  • Neurology Physician
  • Chicago, IL
National Provider Identifier
1730163189
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31600945OtherILBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc PastSince Jan 1, 2015 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 PastSince May 2, 2016 Accepting new patients
Ez Spine and Joint Rehab Inc. PastSince Oct 6, 2023 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.

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

Verify at the official NPI Registry.