Organization
HEATHER YOON DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAE Y YOON DDS (OWNER)
(847) 691-0534
Entity
Organization
Contact information
Practice address
1819 CHURCH ST, EVANSTON, IL 60201-3415
(847) 866-7430
(847) 866-7432
Mailing address
4128 COVE LN APT C, GLENVIEW, IL 60025-3579
(847) 691-0534
(847) 357-9965
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026191
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019026191
—
IL
Enumeration date
01/03/2011
Last updated
01/03/2011
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