Provider Demographics
NPI:1851543748
Name:YOON, KIYOUNG (ACUPUNTURIST)
Entity Type:Individual
Prefix:MRS
First Name:KIYOUNG
Middle Name:
Last Name:YOON
Suffix:
Gender:F
Credentials:ACUPUNTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 E DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-3033
Mailing Address - Country:US
Mailing Address - Phone:847-279-6464
Mailing Address - Fax:
Practice Address - Street 1:170 E DUNDEE RD
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-3033
Practice Address - Country:US
Practice Address - Phone:847-279-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198-000005171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist