Koo, Kyung W
Koo, Kyung W is an individual health care provider with primary practice located at 745 Fletcher Dr Suite 101, Elgin IL 60123-4747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Koo, Kyung W can be contacted via phone (847) 742-3525.Contact Information
Primary practice address
745 Fletcher Dr Suite 101
Elgin IL 60123-4747
Phone: (847) 742-3525
Fax: (847) 742-3585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036048555 | Illinois |
Profile Details
| NPI number | 1689643389 |
|---|---|
| LBN Legal business name | Koo, Kyung W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jan 26th, 2016 - about 8 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 | 1689643389 | NPPES |
| Illinois | MEDICAID | 3648555 |
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