DR. SOONTRI S JONG M.D.
NPI 1396063186
Clinic/Center - Primary Care in Urbana, IL

Active since May 04, 2010
407 POND RIDGE LN, URBANA, IL 61802(217) 954-0595 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Soontri S Jong M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOONTRI S JONG M.D. (NPI 1396063186) is an individual primary care provider in Urbana, Illinois, licensed in Illinois (036-05880) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1396063186
Entity TypeIndividualFemale
Primary Taxonomy261QP2300X
Provider Legal NameDR. SOONTRI S JONGCredential: M.D.
Location Address407 POND RIDGE LNUrbana, IL 61802-7117
Mailing Address407 Pond Ridge LnUrbana, IL 61802-7117 · (217) 954-0595
Sole ProprietorYes
Enumeration DateMay 4, 2010
NPI 1396063186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IL · 036-05880
407 POND RIDGE LN, Urbana, IL 61802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soontri Jong's NPI number?

The NPI number for Soontri Jong is 1396063186. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is Soontri Jong located?

Soontri Jong practices at 407 Pond Ridge Ln, Urbana, IL 61802. The listed phone number is (217) 954-0595.

What is Soontri Jong's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Soontri Jong was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.