person
Dr. Soontri S Jong, MD
Primary Care Clinic/Center in Urbana, Illinois
NPI 1396063186

Soontri S Jong is a Primary Care Clinic/Center based in Urbana, IL and is specialized in Primary Care. Soontri S Jong practices in Urbana, IL and has the professional credentials of MD. The NPI Number for Soontri S Jong is 1396063186 and holds a License No. 036-05880 (Illinois).

The current practice location address for Soontri S Jong is 407 Pond Ridge Ln, Urbana, IL and can be reached out via phone at 217-954-0595.

Location: 407 Pond Ridge Ln, Urbana, IL, 61802-7117
person
Provider Profile Details
NPI Number
1396063186
Provider Name
Soontri S Jong
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
407 Pond Ridge Ln, Urbana, IL, 61802-7117
Phone Number
217-954-0595
Fax Number
Provider Enumeration Date
05/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
407 Pond Ridge Ln
City
State
Zip
61802-7117
Phone Number
217-954-0595
Fax Number
person
Provider Business Mailing Address Details
Address
407 Pond Ridge Ln
City
State
Zip
61802-7117
Phone Number
217-954-0595
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
036-05880 (Illinois)
Definition
Definition to come...
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