Provider Demographics
NPI:1295720829
Name:WON, SUNG YUN (MD)
Entity type:Individual
Prefix:
First Name:SUNG YUN
Middle Name:
Last Name:WON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 N CALIFORNIA
Mailing Address - Street 2:SUITE 740
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625
Mailing Address - Country:US
Mailing Address - Phone:773-275-5518
Mailing Address - Fax:773-275-1610
Practice Address - Street 1:5140 N CALIFORNIA
Practice Address - Street 2:SUITE 740
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625
Practice Address - Country:US
Practice Address - Phone:773-275-5518
Practice Address - Fax:773-275-1610
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology