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Individual

CHIEN I KO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11000 S HALSTED ST, CHICAGO, IL 60628-3909
(773) 264-2236
Mailing address
8247 ARROWHEAD LN, ORLAND PARK, IL 60462-1748
(773) 995-3459

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Enumeration date
05/04/2006
Last updated
07/08/2007
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