Provider Demographics
NPI:1063679348
Name:KROON, MINSOOK DO (DC)
Entity Type:Individual
Prefix:DR
First Name:MINSOOK
Middle Name:DO
Last Name:KROON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6021 W DEMPSTER
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053
Mailing Address - Country:US
Mailing Address - Phone:847-470-0778
Mailing Address - Fax:847-470-0779
Practice Address - Street 1:6021 W DEMPSTER
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053
Practice Address - Country:US
Practice Address - Phone:847-470-0778
Practice Address - Fax:847-470-0779
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011066111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor