Koo, Yeonsuk Choi
Koo, Yeonsuk Choi is an sole proprietor health care provider with primary practice located at 909 N Logan Ave , Danville IL 61832-3742. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Koo, Yeonsuk Choi can be contacted via phone (217) 431-8133.Contact Information
Primary practice address
909 N Logan Ave
Danville IL 61832-3742
Phone: (217) 431-8133
Fax: (217) 431-8134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036058658 | Illinois |
Profile Details
| NPI number | 1598739484 |
|---|---|
| LBN Legal business name | Koo, Yeonsuk Choi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Apr 11th, 2009 - about 17 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 | 1598739484 | NPPES |
| Illinois | MEDICAID | 036058658 |
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