Individual
MICHAEL Y KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST, STE 1118, CHICAGO, IL 60612-3841
(312) 942-4500
(312) 942-2253
Mailing address
1725 W HARRISON ST, STE 1118, CHICAGO, IL 60612-3841
(312) 942-4500
(312) 942-2253
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-111677
IL
2084N0400X
Neurology Physician
36111677
IL
2084N0400X
Neurology Physician
DR.0067846
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36111677
—
IL
01
—
K17810
MEDICARE
IL
Enumeration date
01/23/2006
Last updated
01/24/2022
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