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Individual

EDWARD KOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
934 WESLEY DR, PARK RIDGE, IL 60068-2172
(847) 942-6120
Mailing address
934 WESLEY DR, PARK RIDGE, IL 60068-2172
(847) 942-6120

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112105
IL

Other

Enumeration date
01/22/2006
Last updated
11/02/2010
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