Young Clinic Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

YOUNG CLINIC INC

Practice address

1245 Milwaukee Ave Ste 303
Glenview, IL 60025

Phone

(224) 704-9164

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Jonghyun Kim, DCNPI 1942626627

Title

Chiropractor

Phone

(512) 944-6513

Specialties & licenses 1

Addresses

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.

• Jonghyun Kim

  • Rehabilitation Chiropractor
  • Glenview, IL
  • NPI 1942626627
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1942793948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 MILWAUKEE AVE STE 303",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252400",
            "telephone_number": "224-704-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 MILWAUKEE AVE STE 303",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "224-704-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONGHYUN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "512-944-6513",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Pera Yonan, DDS.M.S.
• Chris Byung Yoo, MD
• Jinyoung Anny Yoo, DDS
• Keith N Yoshino, D.D.S
• Thea L Yosowitz, M.D.
• Corey Young, OTR/L
• Latoya Marie Young, COTA/L
• Lisa M Young, OD
• Mary K Young, MD
• Maureen Beth Young, OTR/L; MS

• Rehabilitation Chiropractor in Glenview, IL
• Providers in Glenview, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.