MEDICARE: DR. BYUNG JO VICTOR YOON MD

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
1	208100000X	Physical Medicine & Rehabilitation Physician	01096571A	IN
2	208100000X	Physical Medicine & Rehabilitation Physician	036176408	IL

General Provider Information

NPI Number	:	1477177384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BYUNG JO VICTOR YOON MD

Provider Business Mailing Address
First Line	:	1625 N HARLEM AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60707-4303
Country	:	US
Telephone Number	:	312-256-8583
Fax Number	:	708-409-5179

Provider Business Practice Location Address
First Line	:	1625 N HARLEM AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60707-4303
Country	:	US
Telephone Number	:	312-256-8583
Fax Number	:	708-409-5179

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2020
Last Update Date	:	11/25/2025

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