MR. JOO HAN KWON (NPI# 1992905921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992905921 |
| Entity Type | Individual |
| Full Name | MR. JOO HAN KWON |
| Other Name | JOO H KWON |
| Credential | DDS |
| Practice Address |
214 Washington St Ingleside IL 60041-9208 |
| Practice Telephone | 8475873020 |
| Practice Fax Number | 8475871598 |
| Mailing Telephone | 8475873020 |
| Mailing Fax Number | 8475871598 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2008-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
214 WASHINGTON ST |
| City | INGLESIDE |
| State | IL |
| Zip Code | 60041-9208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699053967 | Fox Lake Foot Care Ltd | Podiatrist | 214 Washington St, Suite #3, Ingleside, IL 60041-9208 | 2011-08-03 |
| 1760632459 | William C. Dam, M.d.s.c. | Dermatology | 214 Washington St, Ingleside, IL 60041-9208 | 2008-09-30 |
| 1134376189 | Westlake Dental Center | Dentist | 214 Washington St, Ingleside, IL 60041-9208 | 2008-08-21 |
| 1609095678 | Min Jung Kwon | Dentist | 214 Washington St, Ingleside, IL 60041-9208 | 2007-04-25 |
| 1619012010 | Affiliated Ear, Nose and Throat Physicians | Otolaryngology | 214 Washington St, Ingleside, IL 60041-9208 | 2007-02-21 |
| 1053417741 | Sunshine Pediatrics, S.c. | Pediatrics | 214 Washington St, Ste 3, Ingleside, IL 60041-9208 | 2006-09-16 |
| 1447236229 | William C Dam | Internal Medicine | 214 Washington St, Ingleside, IL 60041 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749151 | Derrick Drew Pousson | Chiropractor | 36485 N Maple Ave, Ingleside, IL 60041 | 2017-09-12 |
| 1699216507 | Patrice Ann Piechur | Registered Nurse | 404 Madison Ave., Ingleside, IL 60041 | 2017-03-10 |
| 1679641492 | Chiro One Wellness Centers of Crystal Lake LLC | Chiropractor | 435 Angela Lane, Unit 19, Crystal Lake, IL 60041 | 2006-12-01 |
| 1609973049 | Jennifer Ann O'grady | Speech-Language Pathologist | 35050 N. Frontage Rd., Ingleside, IL 60041 | 2006-09-20 |
| 1770695173 | Forrest Frank Kogut | Chiropractor | 601 S Route 59, Ingleside, IL 60041 | 2006-08-31 |
| 1144461278 | Fox Lake Fire Protection District | Ambulance | 306 Washington St, Ingleside, IL 60041-0000 | 2009-03-19 |
| 1174759294 | Fox Lake Fire Protection District | Ambulance | 306 Washington, #237, Ingleside, IL 60041-0237 | 2009-06-03 |
| 1912217845 | Cecelia Blue | Counselor | 500 Spring Rd, 275, Ingleside, IL 60041-0275 | 2010-10-13 |
| 1124568720 | Maria Teresa Queypo | Registered Nurse | 604 Rollins Rd Unit 355, Ingleside, IL 60041-4401 | 2017-03-01 |
| 1104133552 | Caryn Anne Gehrke | Social Worker | 36859 N Stanton Point Rd, Ingleside, IL 60041-8411 | 2010-09-07 |
| Find all providers in zip 60041 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932127099 | C. Fred Glazener | Dentist | 2681 State Highway 361, Ingleside, TX 78362-4200 | 2006-07-17 |
| 1639161094 | Carol Walker Watt | Dentist | 2797 Main St, Ingleside, TX 78362-5901 | 2005-08-22 |
| 1417355082 | Ingleside Dentistry | Dentist | 2681 State Highway 361, Ingleside, TX 78362-4200 | 2014-12-15 |
| 1134376189 | Westlake Dental Center | Dentist | 214 Washington St, Ingleside, IL 60041-9208 | 2008-08-21 |
| 1609095678 | Min Jung Kwon | Dentist | 214 Washington St, Ingleside, IL 60041-9208 | 2007-04-25 |
| 1306916184 | Sandra Celia Carson | Dentist | 2681 State Highway 361, Ingleside, TX 78362-4200 | 2006-11-08 |
| 1780753293 | C. Fred Glazener, D.d.s., Inc | Dentist | 2681 State Highway 361, Ingleside, TX 78362-4200 | 2006-11-07 |
| 1235117748 | Paul Carmen Mucci | Dentist | 327 Coral Sea Rd, Suite 148, Ingleside, TX 78362-5055 | 2006-01-04 |
| 1023093788 | Shannon Nally Arndt | Dentist | 327 Coral Sea Rd, Naval Health Branch Clinic, Ingleside, TX 78362-5001 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.