Individual
MICHAEL DAVID HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
801 S PAULINA ST, ROOM 110 (MC 835), CHICAGO, IL 60612-7210
(312) 996-7460
Mailing address
801 S PAULINA ST, ROOM 110 (MC 835), CHICAGO, IL 60612-7210
(312) 996-7460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019030666
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021002752
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
019030666
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
021-002752
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DE60367270
WA
Other
Enumeration date
04/15/2011
Last updated
03/09/2026
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