Individual
DR. HOGEUN CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4601 16TH ST, MOLINE, IL 61265-7000
(309) 797-0888
Mailing address
3215 FRIENDSHIP DR, ROCK ISLAND, IL 61201-6152
(929) 600-4973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031934
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019.031934
—
IL
Enumeration date
11/15/2018
Last updated
11/15/2018
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