Myounghee Chae Koo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

1200 South First Ave
Hines, IL 60141-7000

Phone

(708) 338-7400

Fax

(708) 338-7078

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advocate North Side Health Network

  dba Advocate Pharmacy #1510

  • Institutional Pharmacy
  • Chicago, IL
  • NPI 1114645470
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265579312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BARRINGTON DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141675",
            "telephone_number": "815-802-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SOUTH FIRST AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601417000",
            "telephone_number": "708-338-7400",
            "fax_number": "708-338-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "MYOUNGHEE",
        "middle_name": "CHAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Kohen, DDS
• Kevin J Kolman, PHARM.D.
• Olivia Kolodziej
• Usha Kolpe, M.D.
• Maureen Mary Komperda, NP
• Evon Kopitas, PA-C
• Edwin Edward Kopytko, MS, RN, CNS
• Lisa A. Korpolinski, R.D., C.D.E.
• Timothy Paul Korwin
• Natalia Kos, MSW

• Internal Medicine Physician in Hines, IL
• Providers in Hines, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.