Individual
MIYOUNG WON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2320 HIGH ST, BLUE ISLAND, IL 60406-2426
(708) 388-5500
(708) 388-5672
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036112910
IL
208D00000X
General Practice Physician
Primary
036112910
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112910
—
IL
01
—
P00271315
RAILROAD MEDICARE
IL
Enumeration date
04/13/2006
Last updated
07/10/2024
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