Mr Joo Han Kwon, DDS is a medicare enrolled "Dentist - General Practice" provider in Ingleside, Illinois. His current practice location is
214 Washington St, Ingleside, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 587-3020.
Mr Joo Han Kwon is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992905921.
Healthcare Provider's Profile
Full Name | Mr Joo Han Kwon |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 214 Washington St, Ingleside, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992905921
- Provider Enumeration Date: 07/18/2007
- Last Update Date: 04/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 7315236577
- Enrollment ID: I20160511002817
Medical Identifiers
Medical identifiers for Mr Joo Han Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992905921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Joo Han Kwon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Joo Han Kwon, DDS 214 Washington St, Ingleside, IL 60041-9208 Ph: (847) 587-3020 | Mr Joo Han Kwon, DDS 214 Washington St, Ingleside, IL 60041-9208 Ph: (847) 587-3020 |
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