Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARRETT KUNGHO NI, MD
Active Sole ProprietorGARRETT KUNGHO NI, MD is a Facial Plastic Surgery healthcare provider located in MOUNT CARMEL, Illinois. NPI 1477113116 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · MOUNT CARMEL, IL
Registration Details
- NPI Number
- 1477113116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2019 (7.1771719238976 yrs)
- Last Updated
- Feb 6, 2026
- Licenses
-
MT217956 (PA)036.175863 (IL)A196402 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1418 COLLEGE DRMOUNT CARMEL, IL, 628632638Browse IL providers · Browse ZIP 62863
- Phone
- 6182622278
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Facial Plastic Surgery
- Additional Specialty
- Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.