Individual
JEONG HO RYU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3258 W LAWRENCE AVE, CHICAGO, IL 60625-5223
(773) 817-8688
Mailing address
6785 COUNTY LINE LN, BURR RIDGE, IL 60527-5726
(773) 817-8688
(773) 866-1930
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31600945
BCBS
IL
Enumeration date
11/30/2005
Last updated
07/08/2007
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