Individual
MRS. MARY PATRICIA KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN NURSE PRACTITION
Contact information
Practice address
3800 N. CALIFORNIA AVE, CHICAGO, IL 60618
(773) 478-4222
(773) 478-7867
Mailing address
1333 BURR RIDGE PKWY, SUITE 200, BURR RIDGE, IL 60527
(630) 832-1775
(630) 832-3078
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP60270270
WA
Other
Enumeration date
04/11/2012
Last updated
11/18/2016
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