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JISUN REBECCA CHUNG
NPI 1871183376
Counselor - Mental Health in Waukegan, IL

Active since January 19, 2021PECOS Enrolled
671 S LEWIS AVE, WAUKEGAN, IL 60085(847) 782-4048(847) 782-1030 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jisun Rebecca Chung NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JISUN REBECCA CHUNG (NPI 1871183376) is an individual mental health provider in Waukegan, Illinois and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871183376
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJISUN REBECCA CHUNG
Location Address671 S LEWIS AVEWaukegan, IL 60085-6101
Mailing Address671 S Lewis AveWaukegan, IL 60085-6101 · (847) 782-4048 · Fax (847) 782-1030
Phone(847) 782-4048
Fax(847) 782-1030
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
✔ NPI 1871183376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
671 S LEWIS AVE, Waukegan, IL 60085
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jisun Rebecca Chung is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527549161
PECOS Enrollment IDI20260223001245
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STEPHANIE REBECCA SCHLAPPI-KINDRED M.A., LPC
Counselor (Professional)
671 S LEWIS AVE
WAUKEGAN, IL 60085
Lake County (847) 782-4151
JEROME CLARK
Counselor (Mental Health)
671 S LEWIS AVE
WAUKEGAN, IL 60085
Lake County (847) 782-4000
SAMANTHA ANN NIERMAN
Social Worker
671 S LEWIS AVE
WAUKEGAN, IL 60085
Lake County (847) 782-4128
ERIKA DENNY MSW
Social Worker
671 S LEWIS AVE
WAUKEGAN, IL 60085
Lake County (773) 998-8648
MRS. HEATHER MARIE STEWART BSW
Social Worker
671 S LEWIS AVE
WAUKEGAN, IL 60085
Lake County (847) 782-4000
MRS. CARLA R. GUTIERREZ DOMINGUEZ LCSW
Social Worker (Clinical)
671 S LEWIS AVE
WAUKEGAN, IL 60085
Lake County (847) 782-4156
MARY ELLEN NASH MSW,LSW
Social Worker
671 S LEWIS AVE
WAUKEGAN, IL 60085
Lake County (847) 782-4113
CHAKEYSHA JASMINE MCKINNEY-LYONS
Marriage & Family Therapist
671 S LEWIS AVE
WAUKEGAN, IL 60085
Lake County (847) 782-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jisun Chung's NPI number?

The NPI number for Jisun Chung is 1871183376. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Where is Jisun Chung located?

Jisun Chung practices at 671 S Lewis Ave, Waukegan, IL 60085. The listed phone number is (847) 782-4048.

What is Jisun Chung's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jisun Chung enrolled in Medicare?

Yes. Jisun Chung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jisun Chung was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.