Healthcare Provider Details

I. General information

NPI: 1609570456
Provider Name (Legal Business Name): CARALINE CHO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SAINT ELIZABETH BLVD STE 4000
O FALLON IL
62269-1284
US

IV. Provider business mailing address

3 SAINT ELIZABETH BLVD STE 4000
O FALLON IL
62269-1284
US

V. Phone/Fax

Practice location:
  • Phone: 618-233-5480
  • Fax: 844-458-7916
Mailing address:
  • Phone: 618-233-5480
  • Fax: 844-458-7916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2026030892
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: