Jae Ko is a General Practice in Chicago, Illinois. Jae Ko practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jae Ko is 1013106830. The last update date is 2015-05-02.
Jae Ko's current location address is 3434 W Peterson Ave, Chicago, Illinois. You can contact this provider via phone number 8722087573 and fax number 8728060113. The mailing address for Jae Ko is 3434 W Peterson Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae Ko |
|---|---|
| Address | 3434 W Peterson Ave, Chicago, Illinois |
| Phone Number | 8722087573 |
| Fax Number | 8728060113 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1013106830 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2015-05-02 |
Provider Mailing Address Detail
| Address | 3434 W Peterson Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606593319 |
| Phone Number | 8722087573 |
| Fax Number | 8728060113 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19027485 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Jae Ko by the Centers for Medicare & Medicaid Services?
The Jae Ko has been issued the NPI (National Provider Identifier) 1013106830 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jae Ko is located?
The Jae Ko is situated at the following address: 3434 W Peterson Ave, Chicago, IL, 606593319.
What is the area of specialization for Jae Ko, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jae Ko is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013106830 to Jae Ko?
The Centers for Medicare & Medicaid Services originally issued the 1013106830 to Jae Ko on 2007-10-17.
As of what date were the Jae Ko's details last updated?
The information pertaining to the Jae Ko, including its address, specialty, and other details, was most recently updated on 2015-05-02.
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