Provider Demographics
NPI:1255671988
Name:SYN, EUN N (MD)
Entity Type:Individual
Prefix:DR
First Name:EUN
Middle Name:N
Last Name:SYN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2521 CAMPDEN LN
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-8108
Mailing Address - Country:US
Mailing Address - Phone:847-272-5383
Mailing Address - Fax:
Practice Address - Street 1:2521 CAMPDEN LN
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-8108
Practice Address - Country:US
Practice Address - Phone:847-272-5383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-16
Last Update Date:2013-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036045386208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics