Individual provider Active NPI

Young H Chung, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1821114158
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009247 Issued in IL
Practice address
4801 W Peterson Ave Ste 216
Chicago, IL 60646-5725
Phone
(224) 676-1920
Fax
(224) 676-1922
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009247 IL Primary

Addresses

Primary practice location

4801 W Peterson Ave Ste 216
Chicago, IL 60646-5725

Mailing address

4801 W Peterson Ave Ste 216
Chicago, IL 60646-5725
Phone (224) 676-1920

Other identifiers 1

IdentifierTypeStateIssuer
1632543OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000500 IL Practitioner - Chiropractic 6709818560 Practice locations: Wheeling, IL; Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4801 W Peterson Ave
Suite 216
Chicago, IL 60646-5725
Phone (224) 676-1920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009247ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mediquest Diagnostic Center S.C Past Accepting new patients
Fa 1St Solutions Past Accepting new patients

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1821114158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 216",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465725",
            "telephone_number": "224-676-1920",
            "fax_number": "224-676-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 216",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465725",
            "telephone_number": "224-676-1920",
            "fax_number": "224-676-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "YOUNG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1632543",
            "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 Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.