| 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: Not Enrolled in Medicare 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 |