Healthcare Provider Details

I. General information

NPI: 1043848443
Provider Name (Legal Business Name): DANNY CHO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 SOUTH ILLINOIS ROUTE 31
CRYSTAL LAKE IL
60014
US

IV. Provider business mailing address

875 SOUTH ILLINOIS ROUTE 31
CRYSTAL LAKE IL
60014
US

V. Phone/Fax

Practice location:
  • Phone: 815-943-2089
  • Fax: 815-943-2726
Mailing address:
  • Phone: 815-943-2089
  • Fax: 815-943-2726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.076343
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036.162598
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: