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NPI Code Detail

MEDICARE: KAREN J. HO M.D.

MEDICARE:   KAREN J. HO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital218029MA
22086S0129XVascular Surgery Physician249119MA

General Provider Information

NPI Number : 1013079367
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN J. HO M.D.
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 650
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2929
Country : US
Telephone Number : 312-926-7775
Fax Number :
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 650
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2929
Country : US
Telephone Number : 312-926-7775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 10/02/2013

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