Ra-Hurka, Yongsun

Ra-Hurka, Yongsun is an individual health care provider with primary practice located at 2160 S First Ave (321 N Lagrange Rd., Lagrange, Il. 60526), Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ra-Hurka, Yongsun can be contacted via phone (708) 485-1020.

Contact Information

Primary practice address
2160 S First Ave (321 N Lagrange Rd., Lagrange, Il. 60526) Maywood IL 60153
Fax: (708) 485-1173
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36106096 Illinois

Profile Details

NPI number 1821062944
LBN Legal business name Ra-Hurka, Yongsun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Apr 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821062944 NPPES
Illinois MEDICAID 36106096

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