Individual provider Active NPI

Eugene Kwon

  • Psychiatry Physician
  • Elmhurst, IL
National Provider Identifier
1760425276
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Practice address
386 N York Rd
Suite 204
Elmhurst, IL 60126-2363
Phone
(630) 834-1557
NPI assigned
Jun 13, 2006
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
Psychiatry Physician 2084P0800X IL Primary

Addresses

Primary practice location

386 N York Rd
Suite 204
Elmhurst, IL 60126-2363

Mailing address

386 N York Rd
Suite 204
Elmhurst, IL 60126-2363

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
I20050712000406 IL Practitioner - Psychiatry 7810923851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

386 N York Rd
Suite 100
Elmhurst, IL 60126-2365

386 N York St
Suite 100
Elmhurst, IL 60126-2365
Phone (630) 834-1557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036106644ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Suburban Multi-Specialty Medical Services Association SC Psychiatry CurrentSince Jul 1, 2003 Accepting new patients
Mosaic Counseling and Wellness LLC PastSince Jun 25, 2023 Accepting new patients

Locations

386 N York St
Elmhurst, IL 60126
Phone (312) 213-7862

386 N York St
Ste 100
Elmhurst, IL 60126
Phone (630) 834-1557

Organizations & group practices 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760425276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 N YORK RD",
            "address_2": "SUITE 204",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 N YORK RD",
            "address_2": "SUITE 204",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262363",
            "telephone_number": "630-834-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.