Steve Sukho Moon
Steve Sukho Moon is a General Practice Dentistry in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
4317 S Ashland AveChicago, IL 60609-3140
Phone: (773) 579-0422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019030858 (IL) |
|---|
Record details
| NPI number | 1114470283 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2016 |
| Last updated in NPPES | July 25, 2016 |
| Mailing address | 1550 S Blue Island Ave Unit 911, Chicago, IL 60608-3070 |
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