# EMELITA C. CO , M.D. S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255502464
- **Authorized official:** DR. EMELITA C CO MD (PRESIDENT)
- **Authorized official phone:** (708) 660-6030

## Contact information

- **Practice address:** 610 S MAPLE AVE STE 3300, OAK PARK, IL 60304-2803
- **Practice address phone:** (708) 660-6030
- **Practice address fax:** (708) 660-6040
- **Mailing address:** 610 S MAPLE AVE STE 3300, OAK PARK, IL 60304-2803
- **Mailing address phone:** (708) 660-6030
- **Mailing address fax:** (708) 660-6040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 03/14/2008
- **Last updated:** 03/14/2008