Heather Yoon DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

019026191 Issued in IL

Legal business name

HEATHER YOON DDS, PC

Practice address

1819 Church St
Evanston, IL 60201-3415

Phone

(847) 866-7430

Fax

(847) 866-7432

NPI assigned

Jan 3, 2011

Last updated

Jan 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hae Y Yoon, DDSNPI 1265501324

Title

Owner

Phone

(847) 691-0534

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hae Y Yoon, DDS

  • Dentist
  • Evanston, IL
  • NPI 1265501324
  NPD (past) Authorized official

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1760786941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 COVE LN APT C",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253579",
            "telephone_number": "847-691-0534",
            "fax_number": "847-357-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CHURCH ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013415",
            "telephone_number": "847-866-7430",
            "fax_number": "847-866-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER YOON DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "HAE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-691-0534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019026191",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela W Hazard, M.D.
• Christine Hazelett, LCPC ATR-BC
• Health Solutions Comprehensive Quality Care LLC (Health Solutions)
• Takijah T. Heard, MD
• Heart of Transformation Wellness Institute SC
• Helen Grace Hebson
• Timothy Heiney, LCSW
• Matthew Clinton Heishman, RPH
• Angela Heitz
• Adam Held, MD

• Dentist in Evanston, IL
• Providers in Evanston, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.