Individual
JONGWOOK HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 LARKIN AVE, SUITE 102, ELGIN, IL 60123
(847) 742-7458
(847) 742-0191
Mailing address
2050 LARKIN AVE, SUITE 102, ELGIN, IL 60123
(847) 742-7458
(847) 742-0191
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036109196
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109196
—
IL
01
—
04500559
BCBS
IL
01
—
791041149
RAILROAD MEDICARE
IL
Enumeration date
05/16/2006
Last updated
04/03/2022
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