Organization Active NPI

Emelita C. Co , M.D. S.C.

  • Internal Medicine Physician
  • Oak Park, IL
National Provider Identifier
1255502464
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EMELITA C. CO , M.D. S.C.
Practice address
610 S Maple Ave Ste 3300
Oak Park, IL 60304-2803
Phone
(708) 660-6030
Fax
(708) 660-6040
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Emelita C Co, MD
Title
President
Phone
(708) 660-6030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

610 S Maple Ave Ste 3300
Oak Park, IL 60304-2803

Mailing address

610 S Maple Ave Ste 3300
Oak Park, IL 60304-2803
Phone (708) 660-6030

Other identifiers 1

IdentifierTypeStateIssuer
1634479OtherILBCBS

National Provider Directory

National Provider Directory

Locations

610 S Maple Ave
Ste 3300
Oak Park, IL 60304
Phone (312) 563-3858

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1255502464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 3300",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042803",
            "telephone_number": "708-660-6030",
            "fax_number": "708-660-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 3300",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042803",
            "telephone_number": "708-660-6030",
            "fax_number": "708-660-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMELITA C. CO , M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "CO",
        "authorized_official_first_name": "EMELITA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-660-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1634479",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.