Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STELLA J JEONG
Active Sole ProprietorSTELLA J JEONG is a Physical Therapy Clinic healthcare provider located in CHICAGO, Illinois. NPI 1104522341 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · CHICAGO, IL
Registration Details
- NPI Number
- 1104522341
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2023 (3.5085232124413 yrs)
- Last Updated
- Jan 31, 2023
- License
-
070.026006 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1516 N BOSWORTH AVE APT 3CHICAGO, IL, 606422488Browse IL providers · Browse ZIP 60642
- Phone
- 4693283892
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
Other Physical Therapy Clinic Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| RICHARD GEE-FANG WU | PTA | 1215267414 |
| MA. LOURDES L IPAPO | PT | 1255689220 |
| HEATHER CROFT | DPT | 1013268234 |
| ERIN MARIE SHORT | — | 1770931842 |
| ADAM OUYANG | DPT | 1790483527 |
| EMMA S DEVARENNE | DPT | 1598582140 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.