Individual
EMMY HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
Mailing address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47560020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13804
DEAN HEALTH PLAN HMO
—
05
—
1700894474
—
WI
Enumeration date
08/04/2006
Last updated
01/14/2015
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