Nan Young Kwon, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Practice address

1255 Milwaukee Ave
Glenview, IL 60025-2425

Phone

(847) 294-5490

Fax

(847) 294-5496

NPI assigned

Jul 7, 2006

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

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1962435727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 MILWAUKEE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252425",
            "telephone_number": "847-294-5490",
            "fax_number": "847-294-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 MILWAUKEE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252425",
            "telephone_number": "847-294-5490",
            "fax_number": "847-294-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "NAN",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Kurtzner
• Kelli Kushner, PT
• Stephanie Lynn Kutzen, PH.D., LCSW
• Ivy A. Kwielford, MSOM, L.AC., DIPL.AC
• Danbee K Kwon, APN-CNP
• KWR Management LLC
• Benjamin Kyi, DO
• Lauren Victoria Kyrouac
• Mitzi Labant, L.AC.
• Barbara Jean Labrador, O.T.A.

• Pediatrics Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.