Provider Demographics
NPI:1902069677
Name:PAIK, EUN SUN (MD)
Entity Type:Individual
Prefix:MISS
First Name:EUN
Middle Name:SUN
Last Name:PAIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 S GREENLEAF ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3398
Mailing Address - Country:US
Mailing Address - Phone:847-244-5660
Mailing Address - Fax:847-244-5669
Practice Address - Street 1:200 S GREENLEAF ST
Practice Address - Street 2:SUITE A
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3398
Practice Address - Country:US
Practice Address - Phone:847-244-5660
Practice Address - Fax:847-244-5669
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2016-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0361372492084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400305717Medicare PIN