Individual
JIN YOUNG MAENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1300 N ASHLAND AVE FRNT 123A, CHICAGO, IL 60622-2268
(773) 819-7724
(773) 819-7725
Mailing address
1300 N ASHLAND AVE FRNT 123A, CHICAGO, IL 60622-2268
(773) 819-7724
(773) 819-7725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028795
IL
Other
Enumeration date
07/25/2011
Last updated
09/10/2019
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