Provider Demographics
NPI:1699722777
Name:JOO, MIN J (MD)
Entity type:Individual
Prefix:
First Name:MIN
Middle Name:J
Last Name:JOO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:840 S WOOD ST
Mailing Address - Street 2:920-N CSB, MC 719
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4325
Mailing Address - Country:US
Mailing Address - Phone:312-996-8039
Mailing Address - Fax:312-996-4665
Practice Address - Street 1:1801 W TAYLOR ST
Practice Address - Street 2:3C
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4795
Practice Address - Country:US
Practice Address - Phone:312-996-3300
Practice Address - Fax:312-996-3896
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2016-09-30
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Provider Licenses
StateLicense IDTaxonomies
IL036-106284207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILI38783Medicare UPIN