Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SOONTRI S JONG, M.D.
Active Sole ProprietorDR. SOONTRI S JONG, M.D. is a Primary Care Clinic healthcare provider located in URBANA, Illinois. NPI 1396063186 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · URBANA, IL
Registration Details
- NPI Number
- 1396063186
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2010 (16.300528858293 yrs)
- Last Updated
- May 4, 2010
- License
-
036-05880 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
407 POND RIDGE LNURBANA, IL, 618027117Browse IL providers · Browse ZIP 61802
- Phone
- 2179540595
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.