Cho, Seong R
Cho, Seong R is an individual health care provider with primary practice located at 1001 Health Center Dr , Mattoon IL 61938-4693. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Cho, Seong R can be contacted via phone (217) 258-2250.Contact Information
Primary practice address
1001 Health Center Dr
Mattoon IL 61938-4693
Phone: (217) 258-2250
Fax: (217) 258-2249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 036112160 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036112160 | Illinois |
Profile Details
| NPI number | 1811082886 |
|---|---|
| LBN Legal business name | Cho, Seong R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Dec 3rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811082886 | NPPES |
| Illinois | MEDICAID | 036112160 |
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