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

Yonghwi Moon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336677665

Yonghwi Moon is a Student in an Organized Health Care Education/Training Program in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

2821 Grand Ave
Waukegan, IL 60085
Phone: (847) 662-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019031432 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336677665
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 31, 2017
Last updated in NPPESJune 27, 2018
Mailing address1009 Hilldale Ln, Buffalo Grove, IL 60089-7017

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