Most Relevant Information
Provider Data
NPI Number: | 1003594912 |
Provider Name: | JEONGSOO YOON MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: | 125.082441 |
Most Important Dates
Enumeration Date: | 07/10/2023 |
Last Updated: | 07/10/2023 |
Provider Practice Location
355 RIDGE AVE
EVANSTON
IL
602023328
Practice Location Phone/Fax
Phone: | 8473164000 |
Fax: |
Provider Mailing Location
311 RIDGE AVE UNIT 1
EVANSTON
IL
602023342
Provider Mailing Phone/Fax
Phone: | 7738584562 |
Fax: |