Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 249119 | MA |
NPI | 1013079367 |
---|---|
Provider Name | Karen J. Ho |
First Address | Chicago, IL 60611-2929 |
Second Address | Chicago, IL 60611-2929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 02/10/2013 |