Healthcare Provider Details

I. General information

NPI: 1366825770
Provider Name (Legal Business Name): ERIN CHO D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2015
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3208 N LINCOLN AVE
CHICAGO IL
60657-1106
US

IV. Provider business mailing address

8901 GOLF RD STE 202
DES PLAINES IL
60016-4028
US

V. Phone/Fax

Practice location:
  • Phone: 312-584-0707
  • Fax: 312-878-0066
Mailing address:
  • Phone: 847-971-0364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019030248
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: