Individual
YEONSUK CHOI KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 N LOGAN AVE, DANVILLE, IL 61832-3742
(217) 431-8133
(217) 431-8134
Mailing address
909 N LOGAN AVE, DANVILLE, IL 61832-3742
(217) 431-8133
(217) 431-8134
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036058658
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058658
—
IL
Enumeration date
02/15/2006
Last updated
04/11/2009
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