Individual provider · NPI-1

Dr. Seong R Cho, MD

· Mattoon, IL

NPI number1811082886
StatusActive
Last updated in NPPESDec 3, 2024

Details

NPI
1811082886
Entity type
Individual (NPI-1)
Name
Dr. Seong R Cho
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 4, 2006
Certification date
Dec 3, 2024
Last updated
Dec 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X 036112160ILYes
207R00000X Internal Medicine036112160IL

Practice location

1001 Health Center Dr
Mattoon, IL 61938-4693

Phone 217-258-2250 · Fax 217-258-2249

Mailing address

210 W Mckinley Ave
Ste 1
Decatur, IL 92526

Phone 217-876-6600 · Fax 217-876-6606

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