John Yong Bae
John Yong Bae is a Nurse Practitioner in Mount Prospect, Illinois. Qualified in 2023, 3 years ago. Practices with Cmc Healthcare LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 3
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
1717 W Crystal LnMount Prospect, IL 60056-5459
Phone: (224) 210-0122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 209028606 (IL) |
|---|
Record details
| NPI number | 1083486344 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 30, 2023 |
| Last updated in NPPES | October 30, 2023 |
| Certification date | October 30, 2023 |
| Mailing address | 1717 W Crystal Ln, Mount Prospect, IL 60056-5459 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Cmc Healthcare Llc — 130 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |