Samuel Y Ko

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

036161067 Issued in IL

Practice address

6500 W 65TH St
Chicago, IL 60638-4962

Phone

(708) 496-1515

Fax

(708) 496-3433

NPI assigned

Mar 28, 2013

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1386987337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W 65TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384962",
            "telephone_number": "708-496-1515",
            "fax_number": "708-496-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W 65TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384962",
            "telephone_number": "708-496-1515",
            "fax_number": "708-496-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "SAMUEL",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "IL",
            "license": "036161067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ko
• Jocelyn S Rancap Ko, APRN
• Kichul Ko
• Mary Patricia Ko, APN NURSE PRACTITION
• Michael Y Ko, MD
• Jasmine Koback
• Sharon Kobak, D.O.
• Alison Marie Kobel, M.S. CCC-SLP
• Fae Kobernik
• Jennifer Kobes, DDS

• Preventive Medicine/Occupational Environmental Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.