Individual
DR. SOONTRI S JONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
407 POND RIDGE LN, URBANA, IL 61802-7117
(217) 954-0595
Mailing address
407 POND RIDGE LN, URBANA, IL 61802-7117
(217) 954-0595
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036-05880
IL
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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