Individual
JOHN MICHAEL CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(469) 585-4521
Mailing address
1601 LAKE BLUFF DR, GARLAND, TX 75043-7550
(469) 585-4521
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
339403
NY
207P00000X
Emergency Medicine Physician
Primary
58.032281
OH
Other
Enumeration date
04/26/2021
Last updated
09/15/2025
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