Individual
JEI WOO RYOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 S. DAMEN AVE, PATH & LAB MEDICINE SERVICE (MP 113), CHICAGO, IL 60612
(312) 569-6696
(312) 569-6122
Mailing address
1816 DUNHILL CIR, GLENVIEW, IL 60025-7618
(847) 486-9488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-057271
STATE ILLINOIS LICENSE NU
IL
Enumeration date
09/27/2006
Last updated
07/08/2007
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