MEDICARE: DR. STELLA HYE YOUN HWANG DMD

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	1223G0001X	General Practice Dentistry	019.033656	IL

General Provider Information

NPI Number	:	1659005205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STELLA HYE YOUN HWANG DMD

Provider Business Mailing Address
First Line	:	2700 W BELMONT AVE UNIT 407
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5989
Country	:	US
Telephone Number	:	419-320-2092
Fax Number	:

Provider Business Practice Location Address
First Line	:	6051 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-5116
Country	:	US
Telephone Number	:	773-836-1000
Fax Number	:

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

Provider Enumeration Date	:	07/11/2022
Last Update Date	:	02/10/2026

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