Dr. Dae Hyoun Jeong
Family Doctor Family Doctor - Sports Medicine Family Doctor - Geriatric Medicine
520 N 4th St
Springfield
, Illinois 62702-5238
Dr. Dae Hyoun Jeong
Family Doctor Family Doctor - Sports Medicine Family Doctor - Geriatric Medicine
520 N 4th St
Springfield
, Illinois 62702-5238
(217) 747-1351
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Dae Hyoun Jeong
- Po Box 19670
- Springfield, IL
- Zip : 62794-9670
- Fax : (217) 747-1351
- Phone : (217) 545-8000
Second Address
- Dr. Dae Hyoun Jeong
- 520 N 4th St
- Springfield, IL
- Zip : 62702-5238
- Fax : (217) 747-1351
- Phone : (217) 545-8000
Reviews
FAQs
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What type of doctor is Dr. Dae Hyoun Jeong
In what state does Dr. Dae Hyoun Jeong practice in?
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Is Dr. Dae Hyoun Jeong a sole practitioner?
Is Dr. Dae Hyoun Jeong accepting new patients?
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Does Dr. Dae Hyoun Jeong have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036135215 | IL |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 036-135215 | IL |
| N | 207QS0010X | Family Doctor - Sports Medicine | 036-135215 | IL |
National Provider Identifier
| NPI | 1265729818 |
|---|---|
| Provider Name | Dr. Dae Hyoun Jeong |
| First Address | Springfield, IL 62794-9670 |
| Second Address | Springfield, IL 62702-5238 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2011 |
| Last Update Date | 17/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036135215 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.