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NPI Code Detail

MEDICARE: DR. JASON KOLE D.O.

MEDICARE:  DR. JASON  KOLE  D.O.
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
1207P00000XEmergency Medicine Physician036-095671IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14622394OTHERBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043251317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON KOLE D.O.
Provider Business Mailing Address
First Line : 555 W COURT ST
Second Line :
City : KANKAKEE
State : IL
Zip : 60901-3664
Country : US
Telephone Number : 888-828-3192
Fax Number :
Provider Business Practice Location Address
First Line : 1423 CHICAGO RD
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-3400
Country : US
Telephone Number : 708-756-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 10/07/2025

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Directions to “ DR. JASON KOLE D.O.” Practice Location

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