Individual
JIEUN DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, 8 TOWER, CHICAGO, IL 60612
(847) 707-1674
Mailing address
1653 W CONGRESS PKWY, 8 TOWER, CHICAGO, IL 60612
(847) 707-1674
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125062638
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-150479
IL
Other
Enumeration date
06/17/2013
Last updated
08/27/2019
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