Doctor Name: | RACHEL WONJUNG YOON |
NPI Number: | 1043528540 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | Y50072087950 |
Business Practice Address: | 202 W Park Ave Champaign, IL - 618203929 |
Business Phone Number: | 2173732430 |
Business Fax Number: | |
Mailing Address: | 615 S New Ballas Rd, SAINT LOUIS |
State: | MO |
Postal Code: | 631418221 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/17/2010 |
NPI Last Update Date: | 06/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | Y50072087950 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |