NPI 1295749703

Sam Kun Roh, MD

Practitioner Pathology Specialist/Technologist Freeport, IL

Practice location

Address: 1045 W Stephenson St, Freeport, IL 61032-4864
Phone: (815) 599-6218
Mailing address: 1255 W Empire St PO Box268, Freeport, IL 61032-6100

Registered specialties

Pathology Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Q00000X Licence 036056229 (IL)

Other Specialist/Technologist, Pathology providers in Illinois →

Registry record

NPI: 1295749703
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2006
Record last updated: 27 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.