Provider Demographics
NPI:1922124395
Name:YOON, TAK HYUN (DC)
Entity Type:Individual
Prefix:
First Name:TAK
Middle Name:HYUN
Last Name:YOON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 E PALATINE RD APT 314
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3852
Mailing Address - Country:US
Mailing Address - Phone:847-590-5415
Mailing Address - Fax:
Practice Address - Street 1:25 E PALATINE RD APT 314
Practice Address - Street 2:
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3852
Practice Address - Country:US
Practice Address - Phone:847-590-5415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation