Ko, Jason Hyunsuk
Ko, Jason Hyunsuk is an sole proprietor health care provider with primary practice located at 259 E Erie St Ste 20-2060 , Chicago IL 60611-2987. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Ko, Jason Hyunsuk can be contacted via phone (312) 695-6022.Contact Information
Primary practice address
259 E Erie St Ste 20-2060
Chicago IL 60611-2987
Phone: (312) 695-6022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036.119026 | Illinois |
| Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | 036.119026 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 036.119026 | Illinois |
Profile Details
| NPI number | 1417145152 |
|---|---|
| LBN Legal business name | Ko, Jason Hyunsuk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Jun 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417145152 | NPPES |
| Washington | MEDICAID | 1417145152 |
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