Healthcare Provider Details

I. General information

NPI: 1144201674
Provider Name (Legal Business Name): YOUN JIN RHEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 W 64TH ST
CHICAGO IL
60621-3114
US

IV. Provider business mailing address

811 W WHITING LN
ARLINGTON HEIGHTS IL
60004-1394
US

V. Phone/Fax

Practice location:
  • Phone: 773-994-2920
  • Fax: 773-994-1003
Mailing address:
  • Phone: 847-398-6412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: