| Dr Ilsup Yoon, | |
| 650 Huebner Rd, Fort Riley, KS 66442-4030 | |
| (785) 239-7296 | |
| Not Available | 
| Full Name | Dr Ilsup Yoon | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 650 Huebner Rd, Fort Riley, Kansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215476155 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | 31198 (Nebraska) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA11736900 (New Jersey) | Primary | 
| Entity Name | Hurley Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ilsup Yoon, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, San Antonio, TX 78234-4504 Ph: () - | Dr Ilsup Yoon, 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-7296 | 
| Christina Suzanne Fullmer, DO Radiology Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7911 | |
| Dr. James Tien Ti Hsu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7715 | |
| Heidi L. Webster, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Irwin Army Community Hospital (attn:mcxx-cld-qm - Cred), 600 Caisson Hill Road, Fort Riley, KS 66442 Phone: 785-239-7155 Fax: 785-239-7364 |