Active NPI
Bun Siu L. Co, MD
- Nephrology Physician
- Frankfort, IL
National Provider Identifier
1649616822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 36-040899
- Practice address
- 838 Highland Rd.
Frankfort, IL 60423 - Phone
- (815) 469-2105
- Fax
- (815) 469-2105
- NPI assigned
- May 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 36-040899 | IL | Primary |
Addresses
Primary practice location
838 Highland Rd.
Frankfort, IL 60423
Mailing address
838 Highland Rd.
Frankfort, IL 60423
Phone (815) 469-2105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36-040899 | IL | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1649616822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 HIGHLAND RD.",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "60423",
"telephone_number": "815-469-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 HIGHLAND RD.",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "60423",
"telephone_number": "815-469-2105",
"fax_number": "815-469-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CO",
"first_name": "BUN SIU",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "36-040899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.