Provider Demographics
NPI:1518958693
Name:YOON, HONG SUK (DDS)
Entity Type:Individual
Prefix:
First Name:HONG
Middle Name:SUK
Last Name:YOON
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 1:333 E. RT 83
Mailing Address - Street 2:101
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060
Mailing Address - Country:US
Mailing Address - Phone:847-566-7212
Mailing Address - Fax:847-566-7216
Practice Address - Street 1:333 E IL ROUTE 83
Practice Address - Street 2:101
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-4214
Practice Address - Country:US
Practice Address - Phone:847-566-7212
Practice Address - Fax:847-566-7216
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist