Provider Demographics
NPI:1639223100
Name:HWANG, JOSEPH INSUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:INSUN
Last Name:HWANG
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 1:1738 W GOLF RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-4071
Mailing Address - Country:US
Mailing Address - Phone:847-357-9850
Mailing Address - Fax:847-357-9795
Practice Address - Street 1:1738 W GOLF RD
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-4071
Practice Address - Country:US
Practice Address - Phone:847-357-9850
Practice Address - Fax:847-357-9795
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190247121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice