Individual
SANG JO HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
473 W ARMY TRAIL ROAD, # 102, BLOOMINGDALE, IL 60108
(630) 529-6969
(630) 529-7497
Mailing address
473 W ARMY TRAIL ROAD, # 102, BLOOMINGDALE, IL 60108
(630) 529-6969
(630) 529-7497
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036061812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061812
—
IL
Enumeration date
10/31/2006
Last updated
07/08/2007
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