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Individual

SOO I CHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 SAINT ANTHONYS WAY, SUITE 305, ALTON, IL 62002-4569
(618) 462-2226
(618) 462-4809
Mailing address
2 SAINT ANTHONYS WAY, SUITE 305, ALTON, IL 62002-4569
(618) 462-2226
(618) 462-4809

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036053987
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036053987
IL
Enumeration date
05/31/2006
Last updated
01/22/2014
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