Soyoung Kwon DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016.005474 Issued in IL

Legal business name

SOYOUNG KWON DPM PC

Practice address

9820 Milwaukee Ave
C-D
Des Plaines, IL 60016-1805

Phone

(847) 213-9003

NPI assigned

Jun 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Soyoung C Kwon, DPM

Title

Podiatrist

Phone

(630) 290-8797

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1255692026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8239 N NEW ENGLAND AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142610",
            "telephone_number": "630-290-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 MILWAUKEE AVE",
            "address_2": "C-D",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161805",
            "telephone_number": "847-213-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOYOUNG KWON DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "SOYOUNG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "630-290-8797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Jean Spore

• Foot & Ankle Surgery Podiatrist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.