Individual
DR. JOHN HONG SUK YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N MAPLE ST, EFFINGHAM, IL 62401-2003
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2002021127
MO
207RC0000X
Cardiovascular Disease Physician
0101246386
VA
207RC0000X
Cardiovascular Disease Physician
Primary
036166791
IL
207RC0000X
Cardiovascular Disease Physician
2002021127
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205921208
—
MO
Enumeration date
06/15/2006
Last updated
03/10/2025
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