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NPI Code Detail

MEDICARE: DAH YOUN BAEK

MEDICARE:   DAH YOUN  BAEK
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1750219317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAH YOUN BAEK
Provider Business Mailing Address
First Line : 555 PHILLIPPA ST
Second Line :
City : HINSDALE
State : IL
Zip : 60521-2473
Country : US
Telephone Number : 630-903-1388
Fax Number :
Provider Business Practice Location Address
First Line : 1438 DUKE ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3403
Country : US
Telephone Number : 703-212-0602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ DAH YOUN BAEK ” Practice Location

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