Individual provider Active NPI

William Byung Jun Suh, D.C.

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1760642722
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011190 Issued in IL
Practice address
24W500 Maple Ave
Suite 105
Naperville, IL 60540-6055
Phone
(630) 428-4300
Fax
(630) 428-4305
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011190 IL Primary

Addresses

Primary practice location

24W500 Maple Ave
Suite 105
Naperville, IL 60540-6055

Mailing address

217 East Coast Road, #02-12
Singapore, SINGAPORE 428915
SG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011190ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates SC Chiropractor PastSince May 22, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1760642722",
    "addresses": [
        {
            "country_code": "SG",
            "country_name": "Singapore",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "217 EAST COAST ROAD, #02-12",
            "city": "SINGAPORE",
            "state": "SINGAPORE",
            "postal_code": "428915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24W500 MAPLE AVE",
            "address_2": "SUITE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406055",
            "telephone_number": "630-428-4300",
            "fax_number": "630-428-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "WILLIAM",
        "middle_name": "BYUNG JUN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.