Dr. Kwon Blue Mountain Wellness Clinic Llc | |
23909 W Renwick Rd, Plainfield, IL 60544-2108 | |
(815) 439-6161 | |
Not Available |
Full Name | Dr. Kwon Blue Mountain Wellness Clinic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 23909 W Renwick Rd, Plainfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265827984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038009785 (Illinois) | Primary |
Provider Name | Yihyun Kwon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821151499 PECOS PAC ID: 3577708437 Enrollment ID: I20130325000207 |
Mailing Address | Practice Location Address |
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Dr. Kwon Blue Mountain Wellness Clinic Llc 22w385 Balsam Dr, Glen Ellyn, IL 60137-7305 Ph: () - | Dr. Kwon Blue Mountain Wellness Clinic Llc 23909 W Renwick Rd, Plainfield, IL 60544-2108 Ph: (815) 439-6161 |
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