IndividualActive
Alexander Jeon, DO
NPI 1548900400 · Diagnostic Radiology Physician · Chicago, IL
Provider details
- NPI number
- 1548900400
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 125.079604 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1740 W Taylor St
Chicago, IL 60612-7232
Phone: (312) 413-4900
Approximate (ZIP-level) locationGet directions
Mailing address
1775 Ballard Rd
Park Ridge, IL 60068-1005
Registry dates
- Enumerated
- 2022-03-30
- Last updated
- 2024-05-21
- Certified
- 2022-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.