Organization
OK KYONG CHAEKAL MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OK KYONG CHAEKAL MD (CEO/PRESIDENT)
(708) 429-9101
Entity
Organization
Contact information
Practice address
16532 S OAK PARK, SUITE 102, TINLEY PARK, IL 60477-2268
(708) 429-9101
(708) 342-1465
Mailing address
16532 S OAK PARK, SUITE 102, TINLEY PARK, IL 60477-2268
(708) 429-9101
(708) 342-1465
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036094453
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094453
—
IL
Enumeration date
07/13/2010
Last updated
05/11/2011
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