| Heather Yoon Dds, Pc | |
|
1819 Church St Evanston IL 60201-3415 | |
| (847) 866-7430 | |
| (847) 866-7432 |
| Full Name | Heather Yoon Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1819 Church St, Evanston, Illinois |
| Authorized Official Name and Position | Hae Y Yoon (OWNER) |
| Authorized Official Contact | 8476910534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Yoon Dds, Pc 4128 Cove Ln Apt C Glenview IL 60025-3579 Ph: (847) 691-0534 | Heather Yoon Dds, Pc 1819 Church St Evanston IL 60201-3415 Ph: (847) 866-7430 |
| NPI Number | 1760786941 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760786941 | NPI | - | NPPES |
| 019026191 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026191 (Illinois) | Primary |
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