Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 016005438 | IL |
N | 222Z00000X | Podiatrist | 016005438 | IL |
N | 213EP1101X | Primary Podiatric Medicine | 016.005438 | IL |
N | 111NR0200X | Radiology | 016.005438 | IL |
N | 213ER0200X | Radiology | 016.005438 | IL |
N | 2081S0010X | Sports Medicine | 016.005438 | IL |
N | 213ES0000X | Sports Medicine | 016.005438 | IL |
Y | 213ES0103X | Foot & Ankle Surgery | 016.005438 | IL |
NPI | 1588969331 |
---|---|
Provider Name | Dr. Hong Suk Yoon |
First Address | Palatine, IL 60074-5500 |
Second Address | Ogema, MN 56569-9612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2011 |
Last Update Date | 17/03/2018 |