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Individual

DR. JOSEPH P. SO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9261
(217) 238-4325
(217) 238-4320
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
(217) 258-2216

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-127806
IL
208M00000X
Hospitalist Physician
036-127806
IL

Other

Enumeration date
02/25/2010
Last updated
01/08/2019
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