Nathaniel Koo
Surgeon Pediatric Surgery
840 S Wood St Suite 518-E
Chicago
, Illinois 60612-4325
Nathaniel Koo
Surgeon Pediatric Surgery
840 S Wood St Suite 518-E
Chicago
, Illinois 60612-4325
(847) 903-7507
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Nathaniel Koo
- 1012 N Wood St Unit 2
- Chicago, IL
- Zip : 60622-3261
- Phone : (847) 903-7507
Second Address
- Nathaniel Koo
- 840 S Wood St Suite 518-E
- Chicago, IL
- Zip : 60612-4325
- Phone : (312) 996-6765
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 036133774 | IL |
| N | 208600000X | Surgeon | 036133774 | IL |
| Y | 2086S0120X | Pediatric Surgery | 036133774 | IL |
National Provider Identifier
| NPI | 1467626184 |
|---|---|
| Provider Name | Nathaniel Koo |
| First Address | Chicago, IL 60622-3261 |
| Second Address | Chicago, IL 60612-4325 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2008 |
| Last Update Date | 26/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.