JAE KO DDS
NPI 1013106830
Dentist - General Practice in Chicago, IL

Q: What is Jae Ko's NPI number?

The NPI number for Jae Ko is 1013106830. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Q: What is Jae Ko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jae Ko was last updated on May 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2007

3434 W PETERSON AVE, SUITE 1D, CHICAGO, IL 60659(872) 208-7573(872) 806-0113 Get Directions Write a Review

NPPES record last updated: May 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jae Ko Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE KO DDS (NPI 1013106830) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019027485) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1013106830

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJAE KOCredential: DDS

Location Address3434 W PETERSON AVE, SUITE 1DChicago, IL 60659-3319

Mailing Address2840 W Berwyn AveChicago, IL 60625-3402 · (646) 220-5353

Phone(872) 208-7573

Fax(872) 806-0113

Sole ProprietorNo

Enumeration DateOctober 17, 2007

Last NPPES UpdateMay 2, 2015

✔ NPI 1013106830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019027485

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3434 W PETERSON AVE, Chicago, IL 60659

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNIE JOHN, M.D.S.C.

Internal Medicine (Geriatric Medicine)

3434 W PETERSON AVE, 1A
CHICAGO, IL 60659

Cook County (773) 583-5803

ANNIE JOHN M.D.

Internal Medicine (Geriatric Medicine)

3434 W PETERSON AVE, 1A
CHICAGO, IL 60659

Cook County (773) 583-5803

DR. JALAJAKSHI POTLURI MD, FACP

Internal Medicine (Hematology & Oncology)

3434 W PETERSON AVE
CHICAGO, IL 60659

Cook County (773) 279-1800

TONG SU KIM MD

Pediatrics

3434 W PETERSON AVE, 1C
CHICAGO, IL 60659

Cook County (773) 267-8060

KO DENTAL CARE P.C.

Dentist (General Practice)

3434 W PETERSON AVE, SUITE 1D
CHICAGO, IL 60659

Cook County (872) 208-7573

KEY I. NAM, MD, SC.

Specialist/Technologist

3434 W PETERSON AVE, SUITE 202
CHICAGO, IL 60659

Cook County (773) 267-0781

SHELDON D SCHWARTZ MD SC

Internal Medicine

3434 W PETERSON AVE, SUITE #1A
CHICAGO, IL 60659

Cook County (773) 463-3300

KEITH K NAM MD

Internal Medicine (Pulmonary Disease)

3434 W PETERSON AVE, SUITE 202
CHICAGO, IL 60659

Cook County (773) 267-0781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Ko's NPI number?

The NPI number for Jae Ko is 1013106830. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Jae Ko located?

Jae Ko practices at 3434 W Peterson Ave Suite 1D, Chicago, IL 60659. The listed phone number is (872) 208-7573.

What is Jae Ko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jae Ko accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Jae Ko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Ko was last updated on May 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.