JAEWON JUNG (MD) – Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1144858788
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
176 HOSPICE/PALLIATIVE CARE in IL
Provider Addresses for JAEWON JUNG (MD)
1725 W HARRISON ST STE 10
CHICAGO, IL 606123849
Phone: (312) 563-3700
Type: Mailing
450 Clarkson Ave
Brooklyn, NY 112032012
Phone: (718) 270-8867
Type: Location
550 South Jackson Street
ACB 3rd floor
Louisville, KY 40202
Phone: (502) 852-5666
Type: Location
550 1st Ave
New York, NY 100166402
Phone: (212) 263-7300
Type: Location
550 S JACKSON ST FL STREET3
LOUISVILLE, KY 402021622
Phone: (502) 852-5666
Type: Mailing
550 SOUTH JACKSON STREET
ACB 3RD FLOOR
LOUISVILLE, KY 40202
Phone: (502) 852-5666
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241115002546 | I | Hospice/Palliative Care | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Internal Medicine | IL | |
| Diagnostic Radiology | WI | |
| Internal Medicine | MI | |
| Hematology/Oncology, Hospice/Palliative Care | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| O T O L A R Y N G O L O G Y | CT |
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