Healthcare Provider Details

I. General information

NPI: 1689900482
Provider Name (Legal Business Name): FRANCIS SANGYOON NAHM DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANCIS SANGYOON NAHM DDS

II. Dates (important events)

Enumeration Date: 10/29/2009
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 S WEBER RD UNIT D
BOLINGBROOK IL
60490-1549
US

IV. Provider business mailing address

276 S WEBER RD UNIT D
BOLINGBROOK IL
60490-1549
US

V. Phone/Fax

Practice location:
  • Phone: 630-312-8280
  • Fax:
Mailing address:
  • Phone: 630-312-8280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019033018
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: