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NPI Code Detail

MEDICARE: YUNJI YOON

MEDICARE: YUNJI YOON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041556487IL
2163W00000XRegistered Nurse95278515CA
3163W00000XRegistered Nurse766111NY
4163W00000XRegistered Nurse1111907TX
5363LF0000XFamily Nurse Practitioner95026426CA
6363LF0000XFamily Nurse Practitioner209029164IL

General Provider Information

NPI Number : 1558132522
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUNJI YOON
Provider Business Mailing Address
First Line : 1044 W VAN BUREN ST APT 1702
Second Line :
City : CHICAGO
State : IL
Zip : 60607-3251
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3943 W 31ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60623-4936
Country : US
Telephone Number : 773-523-8773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2024
Last Update Date : 01/10/2024

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Directions to “ YUNJI YOON ” Practice Location

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