Ko Surgical Associates P.C
Surgery in Lombard, IL. Organization (NPI-2).
NPI number1225137359
StatusActive
Last updated in NPPESJan 6, 2016
Details
- NPI
- 1225137359
- Entity type
- Organization (NPI-2)
- Legal business name
- Ko Surgical Associates P.C
- Organization subpart
- No
- Enumeration date
- Sep 22, 2006
- Last updated
- Jan 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
130 S Main St Ste 306Lombard, IL 60148-2670
Phone 630-620-6040 · Fax 630-620-6143
Mailing address
130 S Main St Ste 306Lombard, IL 60148-2670
Phone 630-620-6040 · Fax 630-620-6143
Authorized official
Sung-Tao Ko
President/Owner
6308330386
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