| Yongsoo Kwon, | |
|
1800 Glenwood Oaks Ct, Urbana, IL 61801-6013 | |
| (217) 337-5299 | |
| Not Available |
| Full Name | Yongsoo Kwon |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1800 Glenwood Oaks Ct, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043478555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036-070641 (Illinois) | Primary |
| Entity Name | Home Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841703584 PECOS PAC ID: 7012276173 Enrollment ID: O20180117002250 |
| Entity Name | Illinois Doctors On Demand |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780148072 PECOS PAC ID: 7416297916 Enrollment ID: O20190320001158 |
| Entity Name | Doctors On Demand- Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790338358 PECOS PAC ID: 3476880469 Enrollment ID: O20190814001282 |
| Entity Name | Care 24/7 Consulting Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164021663 PECOS PAC ID: 5395153365 Enrollment ID: O20240318003251 |
| Mailing Address | Practice Location Address |
|---|---|
| Yongsoo Kwon, 1800 Glenwood Oaks Ct, Urbana, IL 61801-6013 Ph: (217) 337-5299 | Yongsoo Kwon, 1800 Glenwood Oaks Ct, Urbana, IL 61801-6013 Ph: (217) 337-5299 |
Mahmoud Elrakhawy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-904-7000 | |
Conlan Joseph Pierce, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 W Park St, Urbana, IL 61801 Phone: 540-326-2910 | |
Brian Robert Beeman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Hvi, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7748 | |
Anant Singh Amar, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Beverly Eri Tomita, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Richard B Berlin, MD Surgery Medicare: Medicare Enrolled Practice Location: 602 W. University Avenue, General Surgery, Urbana, IL 61801 Phone: 217-383-3240 Fax: 217-383-4597 |