Hyunjung Lee, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013913 Issued in IL

Practice address

343 E Maple Ave
Mundelein, IL 60060-1970

Phone

(309) 252-0859

NPI assigned

Aug 11, 2023

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revive Family Chiropractic LLC

  • Chiropractor
  • Mundelein, IL
  • NPI 1467230722
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1912680265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E MAPLE AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601970",
            "telephone_number": "309-252-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E MAPLE AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601970",
            "telephone_number": "309-252-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYUNJUNG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake County Health Pain & Rehabilitation Center S.C
• Lake County Medical Group SC
• Lake County Physical Therapy LLC
• Jennifer Landuyt
• Christine J Lee, OD
• Alina Lehocky, DPT
• Stephanie Lerner-Ernsteen, LCSW
• Lauren Levine, LCSW
• Life With Ben and Jen LLC
• Lighthouse Counseling of Lake County Inc.

• Chiropractor in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.