Jinyoung Jang

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.001610 Issued in IL

Practice address

723 Elm St Ste 26
Winnetka, IL 60093-2518

Phone

(312) 335-9330

NPI assigned

Jan 25, 2023

Last updated

Jan 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Source Healing

  • Acupuncturist
  • Chicago, IL
  • NPI 1629482021
  NPD (past)

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1770299562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1862 KIEST AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623639",
            "telephone_number": "469-427-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 ELM ST STE 26",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932518",
            "telephone_number": "312-335-9330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 N Dearborn St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606543874",
            "country_code": "US",
            "telephone_number": "312-335-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANG",
        "first_name": "JINYOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Jacobs, PHARM D
• Steven M Jaharis, MD
• James D. Pollock, MD,SC
• Carol Eileen Jansson, PH.D.
• Jeanne Farley-Li MD SC
• John H. Stone, D.D.S. and John J. Skoworon Jr., D.D.S.,LTD.
• Andrew W Johnson, DPT
• Ann Ohlrogge Johnson

• Acupuncturist in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.