Individual
SAMUEL Y KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 W 65TH ST, CHICAGO, IL 60638-4962
(708) 496-1515
(708) 496-3433
Mailing address
6500 W 65TH ST, CHICAGO, IL 60638-4962
(708) 496-1515
(708) 496-3433
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
036161067
IL
Other
Enumeration date
03/28/2013
Last updated
03/06/2023
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