Provider Demographics
NPI:1659005205
Name:HWANG, STELLA HYE YOUN (DMD)
Entity type:Individual
Prefix:DR
First Name:STELLA
Middle Name:HYE YOUN
Last Name:HWANG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 LINCOLN AVE APT 608
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1406
Mailing Address - Country:US
Mailing Address - Phone:419-320-2092
Mailing Address - Fax:
Practice Address - Street 1:916 N GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-2240
Practice Address - Country:US
Practice Address - Phone:847-336-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2024-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0336561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice