Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036098513 | IL |
N | 111NI0900X | Internist | 036098513 | IL |
N | 207RH0000X | Hematologist | 036098513 | IL |
Y | 207RX0202X | Medical Oncology | 036098513 | IL |
NPI | 1346291960 |
---|---|
Provider Name | Dr. Ronnie F Luyun |
First Address | Urbana, IL 61801-2500 |
Second Address | Urbana, IL 61801-2500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 20/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036098513 | (05) | IL |
0533210001 | DMERC (01) | IL |
H58277 | (02) | IL |