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NPI Code Detail

MEDICARE: DR. MIN-KYU HAN M.D.

MEDICARE: DR. MIN-KYU HAN M.D.
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
1207W00000XOphthalmology Physician036127783IL

General Provider Information

NPI Number : 1912901877
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIN-KYU HAN M.D.
Provider Business Mailing Address
First Line : 8921 N WOOD SAGE RD
Second Line :
City : PEORIA
State : IL
Zip : 61615-7822
Country : US
Telephone Number : 309-243-2400
Fax Number : 309-243-5692
Provider Business Practice Location Address
First Line : 8921 N WOOD SAGE RD
Second Line :
City : PEORIA
State : IL
Zip : 61615-7822
Country : US
Telephone Number : 309-243-2400
Fax Number : 309-243-5692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 10/20/2021

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Directions to “ DR. MIN-KYU HAN M.D.” Practice Location

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