Doctor Name: | DHOHEE K EUN |
NPI Number: | 1205076478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 085003432 |
Business Practice Address: | 5201 Willow Springs Rd La Grange Highlands, IL - 605256537 |
Business Phone Number: | 7082459000 |
Business Fax Number: | |
Mailing Address: | Po Box 7009, BOLINGBROOK |
State: | IL |
Postal Code: | 604407009 |
Phone Number: | 6303127865 |
Fax Number: | 6303127902 |
NPI Enumeration Date: | 03/02/2009 |
NPI Last Update Date: | 06/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 085003432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |