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

Stella J Jeong

Individual provider Physical Therapy Clinic/Center · NPI 1104522341

Stella J Jeong is a Physical Therapy Clinic/Center in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

1516 N Bosworth Ave Apt 3
Chicago, IL 60642-2488
Phone: (469) 328-3892
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 070.026006 (IL)

Record details

NPI number1104522341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2023
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023
Mailing address1516 N Bosworth Ave Apt 3, Chicago, IL 60642-2488

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