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NPI Code Detail

MEDICARE: DR. JOHN HYUN HUR DDS

MEDICARE:  DR. JOHN HYUN HUR  DDS
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
11223S0112XOral and Maxillofacial Surgery (Dentist)019031869IL

General Provider Information

NPI Number : 1154565653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN HYUN HUR DDS
Provider Business Mailing Address
First Line : 1350 E CHICAGO ST UNIT 4
Second Line :
City : ELGIN
State : IL
Zip : 60120-4724
Country : US
Telephone Number : 415-260-4819
Fax Number :
Provider Business Practice Location Address
First Line : 1350 E CHICAGO ST UNIT 4
Second Line :
City : ELGIN
State : IL
Zip : 60120-4724
Country : US
Telephone Number : 415-260-4819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2009
Last Update Date : 04/25/2024

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Directions to “ DR. JOHN HYUN HUR DDS” Practice Location

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