Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edward C Pyun Jr., MD

Individual provider Surgery Physician · NPI 1386748473

Dr. Edward C Pyun Jr., MD is a General Surgery in Rockford, Illinois. Graduated from Northeastern Ohio University College of Medicine in 1994, 32 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
32
Trained at
Northeastern Ohio University College of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5668 E State St
Rockford, IL 61108-2464
Phone: (815) 229-7580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036111344 (IL)

Record details

NPI number1386748473
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 11, 2006
Last updated in NPPESOctober 2, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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