Ko, Sung-Tao
Ko, Sung-Tao is an sole proprietor health care provider with primary practice located at 130 S Main St Ste 306 , Lombard IL 60148-2670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ko, Sung-Tao can be contacted via phone (630) 620-6040.Contact Information
Primary practice address
130 S Main St Ste 306
Lombard IL 60148-2670
Phone: (630) 620-6040
Fax: (630) 620-6143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-045253 | Illinois |
Profile Details
| NPI number | 1811096936 |
|---|---|
| LBN Legal business name | Ko, Sung-Tao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1811096936 | NPPES |
| Illinois | Other | 0002215295 | BLUE CROSS |
| Illinois | MEDICAID | 036-045253 | BLUE CROSS |
Popular Providers
-
Kinney, Michael R
1700 W Central Rd Ste 50 , Arlington Heights IL 60005-2477 -
Airan, Mohan Charles
2340 S Highland Ave #250, Lombard IL 60148-5371 -
Hines, Paul Michael
6851 Texas Highway 154 S , Sulphur Springs TX 75482-8305 -
Cross, Tracy Glenn
250 Burkesville Rd , Albany KY 42602-1604 -
Rhyne, Craig Desmond
3509 22Nd St , Lubbock TX 79410-1307 -
Seip, Christopher C
820 N Alpha St , Grand Island NE 68803-4320 -
Dehaan, David
1801 S Highland Ave Ste 220, Lombard IL 60148-4932 -
Maben, Robert E
575 S 70Th St Ste 310, Lincoln NE 68510-2471