Most Relevant Information
Provider Data
| NPI Number: | 1003666777 |
| Provider Name: | KYUBIN KYUNG DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 06/13/2024 |
Provider Practice Location
1675 DEMPSTER ST
PARK RIDGE
IL
600681110
Practice Location Phone/Fax
| Phone: | 8473189300 |
| Fax: | 8477235983 |
Provider Mailing Location
1675 DEMPSTER ST
PARK RIDGE
IL
600681110
Provider Mailing Phone/Fax
| Phone: | 8473189300 |
| Fax: | 8477235983 |