IndividualActive
Samuel Ko
NPI 1386987337 · Preventive Medicine/Occupational Environmental Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1386987337
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036161067 (IL)
Practice location
6500 W 65th St
Chicago, IL 60638-4962
Phone: (708) 496-1515
Fax: (708) 496-3433
Mailing address
6500 W 65th St
Chicago, IL 60638-4962
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2023-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.