Dr. Jacob Jaewon Suh, D.C.
Chiropractor in Lombard, IL. Individual provider (NPI-1).
NPI number1982106639
StatusActive
Last updated in NPPESOct 15, 2018
Details
- NPI
- 1982106639
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob Jaewon Suh
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2018
- Last updated
- Oct 15, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038.013201 | IL | Yes |
Practice location
219 S Main StApt 35
Lombard, IL 60148-2644
Phone 813-507-1102
Mailing address
219 S Main St Apt 35Lombard, IL 60148-2644
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