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Dr. Dae Hyoun Jeong

Family Doctor Family Doctor - Sports Medicine Family Doctor - Geriatric Medicine

520 N 4th St
Springfield , Illinois 62702-5238

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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 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Geriatric Medicine
  • Family Doctor - Sports Medicine

Languages spoken

  • English

Location

520 N 4th St Springfield , Illinois 62702-5238

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

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FAQs


Where did Dr. Dae Hyoun Jeong attend graduate school?

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Where did Dr. Dae Hyoun Jeong do his residency?

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Where did Dr. Dae Hyoun Jeong do his fellowship?

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Is Dr. Dae Hyoun Jeong board certified?

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What type of doctor is Dr. Dae Hyoun Jeong

Family Doctor

In what state does Dr. Dae Hyoun Jeong practice in?

Illinois

Where is Dr. Dae Hyoun Jeong ’s practice located?

520 N 4th St , Springfield, Illinois, 62702-5238

What is Dr. Dae Hyoun Jeong ’s gender?

Male

Is Dr. Dae Hyoun Jeong a sole practitioner?

No

Is Dr. Dae Hyoun Jeong accepting new patients?

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What languages does Dr. Dae Hyoun Jeong speak?

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Does Dr. Dae Hyoun Jeong accept insurance?

Yes, Dr. Dae Hyoun Jeong accepts insurance

Does Dr. Dae Hyoun Jeong offers telemedicine?

Dr. Dae Hyoun Jeong has not indicated if he offers telemedicine

What is Dr. Dae Hyoun Jeong ’s professional license number?

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What is Dr. Dae Hyoun Jeong ’s NPI number?

1265729818

Does Dr. Dae Hyoun Jeong have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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