Individual
DR. ILSUP YOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7296
Mailing address
3551 ROGER BROOKE DR, JBSA FORT SAM HOUSTON, SAN ANTONIO, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA11736900
NJ
208D00000X
General Practice Physician
31198
NE
Other
Enumeration date
02/13/2017
Last updated
03/16/2023
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