Healthcare Provider Details

I. General information

NPI: 1699391714
Provider Name (Legal Business Name): KYUNGHOON RHEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 N BROADWAY ST
DES PLAINES IL
60016-2335
US

IV. Provider business mailing address

1 N BROADWAY ST
DES PLAINES IL
60016-2335
US

V. Phone/Fax

Practice location:
  • Phone: 847-298-3150
  • Fax:
Mailing address:
  • Phone: 847-298-3150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036164838
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036164838
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: