Ko Surgical Associates P.C

LBN: Ko Surgical Associates P.C
Ko Surgical Associates P.C is an health care organization with primary practice located at 130 S Main St Ste 306 , Lombard IL 60148-2670. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Ko Surgical Associates P.C can be contacted via phone (630) 620-6040, or through Ko, Sung-Tao via phone (630) 833-0386.

Contact Information

Primary practice address
130 S Main St Ste 306 Lombard IL 60148-2670
Fax: (630) 620-6143
Website:
Authorized official contact:
Name: Ko, Sung-Tao Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1225137359
LBN Legal business name Ko Surgical Associates P.C
DBA Doing business as
Authorized official Ko, Sung-Tao Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jan 6th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225137359 NPPES
Illinois MEDICAID 036-045253
Illinois Other 0002215295

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