JOHN YONG BAE

MOUNT PROSPECT, IL
NPI1083486344
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209028606)
Enumeration Date2023-10-30
Last Update Date2023-10-30
Business Address
JOHN YONG BAE
1717 W CRYSTAL LN
MOUNT PROSPECT, IL 60056-5459
Phone number: 224-210-0122
Mailing Address
JOHN YONG BAE
1717 W CRYSTAL LN
MOUNT PROSPECT, IL 60056-5459
Phone number: 224-210-0122
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