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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAE KO, DDS

Active

JAE KO, DDS is a General Dentistry healthcare provider located in CHICAGO, Illinois. NPI 1013106830 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CHICAGO, IL

Registration Details

NPI Number
1013106830
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2007 (18.83786428644 yrs)
Last Updated
May 2, 2015
License
019027485 (IL)

Practice Information

Address
3434 W PETERSON AVE
SUITE 1D
CHICAGO, IL, 606593319
Browse IL providers · Browse ZIP 60659
Phone
8722087573
Fax
8728060113
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in CHICAGO, IL

Name Credential NPI
DR. MICHAEL C GRIFFIN D.M.D. 1376546382
DR. KATHERINE LAUTERBACH D.D.S. 1528061520
DR. ALAN ARA BOGHOSIAN DDS 1285637272
DR. KENNETH FRIED DDS 1457354441
DR. VERONICA LYNN DIMARIO DDS 1891799508
DR. MARK J. GRUNBERG D.D.S. 1962407239
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.