Individual
SUNG HEE KWEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
380 E NORTHWEST HWY, SUITE 240, DES PLAINES, IL 60016-2290
(773) 930-4538
Mailing address
380 E NORTHWEST HWY, SUITE 240, DES PLAINES, IL 60016-2290
(773) 930-4538
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209011619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.317209
PROFESSIONAL LICENSE
IL
01
—
209.011619
ADVANCED PRACTICE NURSE LICENSE
IL
01
—
309.008327
CONTROLLED SUBSTANCE LICENSE
IL
Enumeration date
06/15/2015
Last updated
06/30/2015
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