Sports & Family Chiropractic LLC
NPI 1578889242ActiveOrganization· Chiropractor· Kenosha, WI
Chiropractor in Kenosha, Wisconsin, registered in NPPES in April 2010. The authorized official on file is Hae Yong Chung, D.C, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578889242 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2010 |
| Last updated in NPPES | Jan 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4598-012 | WI |
| Chiropractor | 111N00000X | 4600-012 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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