Ham, Jongwook
Ham, Jongwook is an sole proprietor health care provider with primary practice located at 2050 Larkin Ave Suite 102, Elgin IL 60123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Ham, Jongwook can be contacted via phone (847) 742-7458.Contact Information
Primary practice address
2050 Larkin Ave Suite 102
Elgin IL 60123
Phone: (847) 742-7458
Fax: (847) 742-0191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036109196 | Illinois |
Profile Details
| NPI number | 1700838992 |
|---|---|
| LBN Legal business name | Ham, Jongwook |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Apr 3rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700838992 | NPPES |
| Illinois | MEDICAID | 036109196 | |
| Illinois | Other | 791041149 | |
| Illinois | Other | 04500559 |
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