MEDICARE: YOUN JIN RHEE 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
1	208000000X	Pediatrics Physician		IL

General Provider Information

NPI Number	:	1144201674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOUN JIN RHEE M.D.

Provider Business Mailing Address
First Line	:	811 W WHITING LN
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1394
Country	:	US
Telephone Number	:	847-398-6412
Fax Number	:

Provider Business Practice Location Address
First Line	:	326 W 64TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60621-3114
Country	:	US
Telephone Number	:	773-994-2920
Fax Number	:	773-994-1003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	07/08/2007

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