Individual
SAM KUN ROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6218
Mailing address
1255 W EMPIRE ST, PO BOX268, FREEPORT, IL 61032-6100
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
036056229
IL
Other
Enumeration date
07/28/2006
Last updated
01/27/2010
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