Individual provider · NPI-1

Hyo Joon Cha, FNP

Nurse Practitioner, Family · Bolingbrook, IL

NPI number1770060394
StatusActive
Last updated in NPPESAug 8, 2024

Details

NPI
1770060394
Entity type
Individual (NPI-1)
Name
Hyo Joon Cha
Credential
FNP
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2018
Certification date
Aug 8, 2024
Last updated
Aug 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209.017533ILYes

Practice location

235 Remington Blvd Ste E
Bolingbrook, IL 60440-3685

Phone 630-771-1201

Mailing address

5909 W 35th St
Cicero, IL 60804-4163

Phone 708-298-4802

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