Individual
CHRISTINA CHAE HYUN IM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3014 S HALSTED ST, CHICAGO, IL 60608-5805
(312) 291-9283
Mailing address
728 N MORGAN ST APT 603, CHICAGO, IL 60642-6583
(773) 655-9191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033310
IL
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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