MEDICARE: DR. RYUNG SUH D.D.S.

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	122300000X	Dentist		IL

General Provider Information

NPI Number	:	1437250495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYUNG SUH D.D.S.

Provider Business Mailing Address
First Line	:	1372 PATRIOT BOULEVARD
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026
Country	:	US
Telephone Number	:	847-998-9660
Fax Number	:	847-998-9661

Provider Business Practice Location Address
First Line	:	1372 PATRIOT BLVD
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-7777
Country	:	US
Telephone Number	:	847-998-9660
Fax Number	:	847-998-9661

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1528926458 — SOFIA ALI PHARMD
Practice Location Address:

1340 PATRIOT BLVD
GLENVIEW, IL
60026-7777

Practice Phone: 847-657-9151
Practice Fax:

1639188295 — LAKE FAMILY DENTAL
Practice Location Address:

1372 PATRIOT BLVD
GLENVIEW, IL
60026-7777

Practice Phone: 847-998-9660
Practice Fax: 847-998-9661

1669500104 — DR. THOMAS G GODBOUT III D.C., CCSP
Practice Location Address:

1352 PATRIOT BLVD
GLENVIEW, IL
60026-7777

Practice Phone: 847-657-0400
Practice Fax:

1902021736 — ROBERT GATHERCOAL
Practice Location Address:

1340 PATRIOT BLVD
GLENVIEW, IL
60026-7777

Practice Phone: 847-657-8691
Practice Fax:

1881808897 — ROSIN OPTICAL CO., INC.
Practice Location Address:

1346 PATRIOT BLVD
GLENVIEW, IL
60026-7777

Practice Phone: 847-729-5050
Practice Fax: 224-521-2995

1194983650 — BACK TO LIFE CHIROPRACTIC, SC
Practice Location Address:

1352 PATRIOT BLVD
GLENVIEW, IL
60026-7777

Practice Phone: 847-917-3097
Practice Fax:

Directions to “ DR. RYUNG SUH D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.