Individual
DR. SEONG R CHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 HEALTH CENTER DR, MATTOON, IL 61938-4693
(217) 258-2250
(217) 258-2249
Mailing address
210 W MCKINLEY AVE, STE 1, DECATUR, IL 92526
(217) 876-6600
(217) 876-6606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036112160
IL
2085R0001X
Radiation Oncology Physician
Primary
036112160
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112160
—
IL
Enumeration date
10/04/2006
Last updated
12/03/2024
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