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NPI Code Detail

MEDICARE: JASON CHON M.D.

MEDICARE: JASON CHON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician036.115592IL
22085R0202XDiagnostic Radiology Physician2025033370MO
32085R0202XDiagnostic Radiology Physician2026-00232NC

General Provider Information

NPI Number : 1376702852
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON CHON M.D.
Provider Business Mailing Address
First Line : 737 W WASHINGTON BLVD APT 1104
Second Line :
City : CHICAGO
State : IL
Zip : 60661-2183
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1653 W CONGRESS PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3833
Country : US
Telephone Number : 312-942-5509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 04/09/2026

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