Ko, Michael Y
Ko, Michael Y is an individual health care provider with primary practice located at 1725 W Harrison St Ste 1118, Chicago IL 60612-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ko, Michael Y can be contacted via phone (312) 942-4500.Contact Information
Primary practice address
1725 W Harrison St Ste 1118
Chicago IL 60612-3841
Phone: (312) 942-4500
Fax: (312) 942-2253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 36111677 | Illinois |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DR.0067846 | Colorado |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036-111677 | Illinois |
Profile Details
| NPI number | 1922088111 |
|---|---|
| LBN Legal business name | Ko, Michael Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jan 24th, 2022 - about 4 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 | 1922088111 | NPPES |
| Illinois | MEDICAID | 36111677 | |
| Illinois | Other | K17810 |
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