Yong Chul Chun, M.D., S.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036053060 Issued in IL

Legal business name

YONG CHUL CHUN, M.D., S.C.

Practice address

3755 W Lawrence Ave
Chicago, IL 60625-5712

Phone

(773) 539-5333

Fax

(773) 539-0251

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Yong Chul Chun, M.D.NPI 1417968132

Title

President

Phone

(773) 539-5333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yong Chul Chun, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1417968132
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1851608764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 TORREY PINES PKWY",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623129",
            "telephone_number": "773-539-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255712",
            "telephone_number": "773-539-5333",
            "fax_number": "773-539-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONG CHUL CHUN, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "CHUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-539-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036053060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053060",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Yon
• Diyana Yonadim, DMD
• Diane Yonan
• Yvette J Yonan, LCSW
• Yong Chang DDS PC.
• Zachary Yong, DO
• Bryan Yonka, A.T.C.
• Anna Yonkelowitz, RN, FNP-C
• Paul M Yonover, MD
• Yonsei Pain Clinic

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.