MEDICARE: JEONG HO RYU 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	2084N0400X	Neurology Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31600945	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1730163189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEONG HO RYU MD

Provider Business Mailing Address
First Line	:	6785 COUNTY LINE LN
Second Line	:
City	:	BURR RIDGE
State	:	IL
Zip	:	60527-5726
Country	:	US
Telephone Number	:	773-817-8688
Fax Number	:	773-866-1930

Provider Business Practice Location Address
First Line	:	3258 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5223
Country	:	US
Telephone Number	:	773-817-8688
Fax Number	:

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1043871072 — DR. JULIE C. KIM DDS
Practice Location Address:

3258 W LAWRENCE AVE
CHICAGO, IL
60625-5223

Practice Phone: 773-478-3258
Practice Fax: 773-478-3103

1639115439 — PEE DEE KAY INC
Practice Location Address:

4054 W NORTH AVE
CHICAGO, IL
60639-5223

Practice Phone: 773-486-2684
Practice Fax: 773-486-2742

1386054104 — NWI MEDICAL GROUP INC
Practice Location Address:

4054 W NORTH AVE , UNIT 1
CHICAGO, IL
60639-5223

Practice Phone: 219-427-0700
Practice Fax:

1801251384 — EWA TORRES
Practice Location Address:

5223 S NOTTINGHAM AVE
CHICAGO, IL
60638-1009

Practice Phone: 708-528-5000
Practice Fax:

1871942631 — JEAN HOFFMAN
Practice Location Address:

5223 W NEWPORT AVE
CHICAGO, IL
60641-3331

Practice Phone: 708-646-8815
Practice Fax:

1255184586 — CHRISTY DARCANGELO LCSW PLLC
Practice Location Address:

5223 W HUTCHINSON ST
CHICAGO, IL
60641-1450

Practice Phone: 708-803-2080
Practice Fax:

Directions to “ JEONG HO RYU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.