Mikyung Yun Od Pc

LBN: Mikyung Yun Od Pc
Mikyung Yun Od Pc is an health care organization with primary practice located at 150 Smith Rd , St Charles IL 60174-5203. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mikyung Yun Od Pc can be contacted via phone (630) 513-9566, or through Baker, Mikyung via phone (630) 606-1618.

Contact Information

Primary practice address
150 Smith Rd St Charles IL 60174-5203
Phone: (630) 513-9566
Fax: (630) 513-9786
Website:
Map and Directions
Authorized official contact:
Name: Baker, Mikyung
Phone: (630) 606-1618

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-009764 Illinois

Profile Details

NPI number 1801119987
LBN Legal business name Mikyung Yun Od Pc
DBA Doing business as
Authorized official Baker, Mikyung
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2010
Last updated Mar 11th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801119987 NPPES
Illinois MEDICAID 046-009764

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