Organization
CHI S KO M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHI S KO M.D. (PRESIDENT)
(330) 759-0644
Entity
Organization
Contact information
Practice address
3132 BELMONT AVE, YOUNGSTOWN, OH 44505-1838
(330) 759-0644
(330) 759-1893
Mailing address
3132 BELMONT AVE, YOUNGSTOWN, OH 44505-1838
(330) 759-0644
(330) 759-1893
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
35. 036198
OH
Other
Enumeration date
10/24/2010
Last updated
10/28/2010
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