Individual provider · Type 1 NPI
John Yong Bae
Psychiatric/Mental Health Nurse Practitioner · Mount Prospect, IL
NPI number
1083486344
Active
Practice location
1717 W Crystal Ln
Mount Prospect, IL 60056-5459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209028606 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1083486344
John Yong Bae's National Provider Identifier is 1083486344, issued on Oct 30, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mount Prospect, IL. The record was last updated on Oct 30, 2023.