Individual provider Active NPI

Yihyun Kwon, PH.D., D.C., L.AC.

  • Chiropractor
  • Lombard, IL
National Provider Identifier
1821151499
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009785 Issued in IL
Practice address
200 E Roosevelt Rd
Lombard, IL 60148-4539
Phone
(630) 889-6608
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009785 IL Primary
Acupuncturist 171100000X 198.000636 IL

Addresses

Primary practice location

200 E Roosevelt Rd
Lombard, IL 60148-4539

Mailing address

22W385 Balsam Dr
Glen Ellyn, IL 60137-7305
Phone (630) 484-6733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038-009785ILMDChiropractor
198.000636ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways, S.C. Chiropractor PastSince Oct 22, 2012 Accepting new patients
Sport & Spine Rehab Institute Chiropractor Past Accepting new patients
National University of Health Sciences Chiropractor PastSince Jun 1, 1997 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11209/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1821151499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22W385 BALSAM DR",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377305",
            "telephone_number": "630-484-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484539",
            "telephone_number": "630-889-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "YIHYUN",
        "credential": "PH.D., D.C.,  L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009785",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.