Individual
WILLIAM BEEN SUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1900
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009030852
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116040
—
IL
05
—
036116040 7
—
IL
01
—
06032182
BLUE CROSS BLUE SHIELD
IL
01
—
08232204
BLUE CROSS BLUE SHIELD
IL
01
—
08232205
BLUE CROSS BLUE SHIELD
IL
01
—
P00350429
RAILROAD MEDICARE
IL
Enumeration date
08/24/2006
Last updated
03/07/2023
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