Individual
OK RO HONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2604 DEMPSTER ST, SUITE 307, PARK RIDGE, IL 60068-8412
(847) 544-5102
(847) 544-5103
Mailing address
2604 DEMPSTER ST, SUITE 307, PARK RIDGE, IL 60068-8412
(847) 544-5102
(847) 544-5103
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-073905
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632426
BLUE CROSS BLUE SHIELD
IL
05
—
036073905
—
IL
Enumeration date
04/25/2006
Last updated
07/09/2012
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