Dr Sung-tao Ko, MD | |
130 S Main St Ste 306, Lombard, IL 60148-2670 | |
(630) 620-6040 | |
(630) 620-6143 |
Full Name | Dr Sung-tao Ko |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 130 S Main St Ste 306, Lombard, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811096936 | NPI | - | NPPES |
0002215295 | Other | IL | BLUE CROSS |
036-045253 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036-045253 (Illinois) | Primary |
Entity Name | Ko Surgical Associates P.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225137359 PECOS PAC ID: 5698795227 Enrollment ID: O20051129000172 |
Mailing Address | Practice Location Address |
---|---|
Dr Sung-tao Ko, MD 130 S Main St Ste 306, Lombard, IL 60148-2670 Ph: (630) 620-6040 | Dr Sung-tao Ko, MD 130 S Main St Ste 306, Lombard, IL 60148-2670 Ph: (630) 620-6040 |
John V Belmonte, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2340 S Highland Ave, 380, Lombard, IL 60148 Phone: 630-261-8111 Fax: 630-261-8113 | |
Dr. Mohan Charles Airan, MD Surgery Medicare: Medicare Enrolled Practice Location: 2340 S Highland Ave, #250, Lombard, IL 60148 Phone: 630-268-0132 Fax: 630-268-0153 | |
Dr. John A. Greager Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1263 S Highland Ave, Suite 100, Lombard, IL 60148 Phone: 630-261-0280 | |
David Dehaan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 S Highland Ave, Ste 220, Lombard, IL 60148 Phone: 630-873-8700 |