Healthcare Provider Details

I. General information

NPI: 1841362829
Provider Name (Legal Business Name): JASON YEEKWONG HUI DC, NMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 04/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 W DUNDEE RD
BUFFALO GROVE IL
60089-4009
US

IV. Provider business mailing address

1283 W DUNDEE RD
BUFFALO GROVE IL
60089-4009
US

V. Phone/Fax

Practice location:
  • Phone: 847-632-9919
  • Fax:
Mailing address:
  • Phone: 847-632-9919
  • Fax: 847-632-9981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number038.008505
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number038008505
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: