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General NPI Number Information
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NPI Number | 1992985592
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Entity Type | Organization
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Legal Business Name | JERRY CHOW MD LTD
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 15300 WEST AVE STE 310
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City | ORLAND PARK
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State | IL
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Zip | 60462-4687
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Country | US
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Telephone | 708-349-3388
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Fax | 708-349-3334
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Provider Business Mailing Address
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Address Line | 15300 WEST AVE STE 310
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City | ORLAND PARK
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State | IL
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Zip | 60462-4687
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Country | US
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Telephone | 708-349-3388
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Fax | 708-349-3334
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Authorized Official
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Title or Position | SECRETARY
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Name | DEBRAE HOWARD
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Credential |
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Telephone | 708-349-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 042-007044
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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