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 |