Individual
DR. JASON HYUNSUK KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
259 E ERIE ST STE 20-2060, CHICAGO, IL 60611-2987
(312) 695-6022
Mailing address
680 N. LAKE SHORE DRIVE, SUITE #1000, CHICAGO, IL 60611-8709
(312) 695-6022
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
036.119026
IL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
036.119026
IL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
036.119026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417145152
—
WA
Enumeration date
10/09/2007
Last updated
06/27/2023
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