Ok Kyong Chaekal MD LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

036094453 Issued in IL

Legal business name

OK KYONG CHAEKAL MD LTD

Practice address

16532 S Oak Park
Suite 102
Tinley Park, IL 60477-2268

Phone

(708) 429-9101

Fax

(708) 342-1465

NPI assigned

Jul 13, 2010

Organization subpart

No

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

Authorized official

Name

Ok Kyong Chaekal, MD

Title

Ceo/President

Phone

(708) 429-9101

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1609188101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16532 S OAK PARK",
            "address_2": "SUITE 102",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772268",
            "telephone_number": "708-429-9101",
            "fax_number": "708-342-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16532 S OAK PARK",
            "address_2": "SUITE 102",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772268",
            "telephone_number": "708-429-9101",
            "fax_number": "708-342-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK KYONG CHAEKAL MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "CHAEKAL",
        "authorized_official_first_name": "OK KYONG",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "708-429-9101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036094453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094453",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.