Provider Demographics
NPI:1053464032
Name:BAIK, JUNHO (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUNHO
Middle Name:
Last Name:BAIK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 DUNDEE RD
Mailing Address - Street 2:STE 2N1
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2332
Mailing Address - Country:US
Mailing Address - Phone:847-480-2292
Mailing Address - Fax:847-480-2293
Practice Address - Street 1:3157 DUNDEE RD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2402
Practice Address - Country:US
Practice Address - Phone:847-480-2292
Practice Address - Fax:847-480-2293
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190232941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice