Individual
DR. CHOONG H KOH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 W 95TH STREET, OAK LAWN, IL 60653
(708) 345-5520
Mailing address
1986 N BROADMOOR LANE, VERNON HILLS, IL 60061
(847) 362-2040
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00196713
RAILROAD MEDICARE
IL
Enumeration date
03/10/2006
Last updated
07/08/2007
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