Chow, Jerry
Chow, Jerry is an sole proprietor health care provider with primary practice located at 15300 West Ave Suite 310, Orland Park IL 60462-4600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Chow, Jerry can be contacted via phone (708) 349-3388.Contact Information
Primary practice address
15300 West Ave Suite 310
Orland Park IL 60462-4600
Phone: (708) 349-3388
Fax: (708) 349-3334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036-073-830 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 036-073-830 | Illinois |
Profile Details
| NPI number | 1508831660 |
|---|---|
| LBN Legal business name | Chow, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jun 29th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508831660 | NPPES |
| Other | 990007792 | PALMETTO GBA-RAILROAD MEDICARE | |
| Other | 0031602242 | PALMETTO GBA-RAILROAD MEDICARE | |
| MEDICAID | 036073830 | PALMETTO GBA-RAILROAD MEDICARE |
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