Provider Demographics
NPI:1336472752
Name:CHONG, HOYOON (L AC)
Entity Type:Individual
Prefix:
First Name:HOYOON
Middle Name:
Last Name:CHONG
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:241 GOLF MILL CTR
Mailing Address - Street 2:SUITE 309
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1224
Mailing Address - Country:US
Mailing Address - Phone:847-759-1641
Mailing Address - Fax:847-759-1646
Practice Address - Street 1:241 GOLF MILL CTR
Practice Address - Street 2:SUITE 309
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-1224
Practice Address - Country:US
Practice Address - Phone:847-759-1641
Practice Address - Fax:847-759-1646
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL198000791171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist