Individual
DR. JERRY CHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15300 WEST AVE, SUITE 310, ORLAND PARK, IL 60462-4600
(708) 349-3388
(708) 349-3334
Mailing address
15300 WEST AVE, SUITE 310, ORLAND PARK, IL 60462-4600
(708) 349-3388
(708) 349-3334
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036-073-830
IL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
036-073-830
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031602242
BCBSIL
IL
05
—
036073830
—
IL
01
—
990007792
PALMETTO GBA-RAILROAD MEDICARE
—
Enumeration date
02/22/2006
Last updated
06/29/2010
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