Healthcare Provider Details

I. General information

NPI: 1770497018
Provider Name (Legal Business Name): HYE JIN WOO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3194 ANTON DR
AURORA IL
60504-6664
US

IV. Provider business mailing address

3194 ANTON DR
AURORA IL
60504-6664
US

V. Phone/Fax

Practice location:
  • Phone: 630-398-6667
  • Fax:
Mailing address:
  • Phone: 630-398-6667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number041451313
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: