Ryu, Jeong Ho

Ryu, Jeong Ho is an individual health care provider with primary practice located at 3258 W Lawrence Ave , Chicago IL 60625-5223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ryu, Jeong Ho can be contacted via phone (773) 817-8688.

Contact Information

Primary practice address
3258 W Lawrence Ave Chicago IL 60625-5223
Phone: (773) 817-8688
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X Illinois

Profile Details

NPI number 1730163189
LBN Legal business name Ryu, Jeong Ho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730163189 NPPES
Illinois Other 31600945 BCBS

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