Individual
DR. RONNIE F LUYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., ONCOLOGY/HEMATOLOGY, URBANA, IL 61801-2500
(217) 383-6636
(217) 383-3466
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036098513
IL
207RH0000X
Hematology (Internal Medicine) Physician
036098513
IL
207RX0202X
Medical Oncology Physician
Primary
036098513
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098513
—
IL
01
—
0533210001
DMERC
IL
Enumeration date
05/16/2006
Last updated
05/20/2021
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