Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sophie Ju Hyung Moon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457970147

Sophie Ju Hyung Moon is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Chicago, IL

No coordinates on file. Search this address in Google Maps

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.032544 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457970147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 13, 2020
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

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