Provider Demographics
NPI:1700523206
Name:HO, CHAK-SUM (PHD, F(ACHI), FAACC)
Entity Type:Individual
Prefix:DR
First Name:CHAK-SUM
Middle Name:
Last Name:HO
Suffix:
Gender:M
Credentials:PHD, F(ACHI), FAACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 SPRING LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143-2076
Mailing Address - Country:US
Mailing Address - Phone:630-758-2660
Mailing Address - Fax:630-758-2760
Practice Address - Street 1:425 SPRING LAKE DR
Practice Address - Street 2:
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143-2076
Practice Address - Country:US
Practice Address - Phone:630-758-2660
Practice Address - Fax:630-758-2760
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician