Individual
DR. LARRY D YUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
918 MADISON ST, OAK PARK, IL 60302
(630) 920-4670
(630) 920-4687
Mailing address
1000 BURR RIDGE PKWY STE 200, BURR RIDGE, IL 60527-0845
(630) 920-4670
(630) 920-4687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009569
IL
225100000X
Physical Therapist
038-009569
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634109
BC/BS PROVIDER NUMBER
IL
01
—
7733360
AETNA PROVIDER NUMBER
IL
01
—
K07127
MEDICARE PROVIDER NUMBER
IL
Enumeration date
10/05/2007
Last updated
07/24/2018
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