Yonghwi Moon

Dentist · Waukegan, IL

Individual Active NPI

NPI number 1336677665

Practice location

2821 Grand Ave
Waukegan, IL 60085
Phone
(847) 662-4400

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NPI record

NPI
1336677665
Entity type
Individual (Type 1)
Enumeration date
May 31, 2017
Last updated
June 27, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019031432 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1009 Hilldale Ln
Buffalo Grove, IL 60089-7017
Phone
(585) 683-0248

About Yonghwi Moon

Yonghwi Moon is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2821 Grand Ave, Waukegan, IL 60085. The NPI number 1336677665 was assigned on May 31, 2017 and the record was last updated on June 27, 2018.

Yonghwi Moon lists a license in the registry: #019031432 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Yonghwi Moon?

The NPI number is 1336677665.

What is the phone number of Yonghwi Moon?

The phone number listed for the practice location is (847) 662-4400.

Where is Yonghwi Moon located?

2821 Grand Ave, Waukegan, IL 60085.

What is the taxonomy code for Yonghwi Moon?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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