Yang, John Hong Suk
Yang, John Hong Suk is an individual health care provider with primary practice located at 619 E Mason St , Springfield IL 62701-1034. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Yang, John Hong Suk can be contacted via phone (217) 788-0706.Contact Information
Primary practice address
619 E Mason St
Springfield IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2002021127 | Missouri |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2002021127 | Missouri |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101246386 | Virginia |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036166791 | Illinois |
Profile Details
NPI number | 1093759417 |
---|---|
LBN Legal business name | Yang, John Hong Suk |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Sep 7th, 2023 - 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 | 1093759417 | NPPES |
Missouri | MEDICAID | 205921208 |
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