Koo, Nathaniel
Koo, Nathaniel is an individual health care provider with primary practice located at 840 S Wood St Suite 518-E, Chicago IL 60612-4325. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Koo, Nathaniel can be contacted via phone (312) 996-6765.Contact Information
Primary practice address
840 S Wood St Suite 518-E
Chicago IL 60612-4325
Phone: (312) 996-6765
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 036133774 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036133774 | Illinois |
Profile Details
| NPI number | 1467626184 |
|---|---|
| LBN Legal business name | Koo, Nathaniel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Apr 26th, 2021 - about 5 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.
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