Kristy Cho

Student in an Organized Health Care Education/Training Program in Oak Park, IL. Individual provider (NPI-1).

NPI number1790172005

StatusActive

Last updated in NPPESJun 6, 2016

Details

NPI: 1790172005
Entity type: Individual (NPI-1)
Name: Kristy Cho
Sex: Female
Sole proprietor: Yes
Enumeration date: Apr 24, 2015
Last updated: Jun 6, 2016

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes
122300000X	Dentist	019030621	IL

Practice location

137 N Oak Park Ave
Suite 202
Oak Park, IL 60301-1344

Phone 708-524-0330

Mailing address

233 E Wacker Dr
Apt 213
Chicago, IL 60601-5104

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Oak Park, IL

All 23 Student in an Organized Health Care Education/Training Program providers in Oak Park · All 3,051 providers in Oak Park

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