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ALEXANDER IL JOUNG KOO MD
NPI 1891438180
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 15, 2022PECOS Enrolled
5841 S MARYLAND AVE # MC3079, CHICAGO, IL 60637(773) 834-3531(773) 702-5434 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2023, Apr 15, 2022 (2 updates tracked since 2022).

About Alexander Il Joung Koo Md NPPES

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

ALEXANDER IL JOUNG KOO MD (NPI 1891438180) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891438180
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER IL JOUNG KOOCredential: MD
Location Address5841 S MARYLAND AVE # MC3079Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 834-3531
Fax(773) 702-5434
Sole ProprietorNo
Enumeration DateApril 15, 2022
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
✔ NPI 1891438180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5841 S MARYLAND AVE # MC3079, Chicago, IL 60637
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Il Joung Koo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. MATTHEW JOHN PATE MD
Orthopaedic Surgery
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
DR. GRIGORY E GERSHKOVICH M.D.
Orthopaedic Surgery (Hand Surgery)
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-1634
BYRON UDEGBE MD
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
DR. DARLINGTON NWAUDO MD
Orthopaedic Surgery
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
DR. JENNIFER TAYLOR EURICH MD
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
CHARLES POFF
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
DR. ALISHA HO MD
Orthopaedic Surgery
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
TEJAS SUBRAMANIAN
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531

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 Alexander Koo's NPI number?

The NPI number for Alexander Koo is 1891438180. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Alexander Koo located?

Alexander Koo practices at 5841 S Maryland Ave # Mc3079, Chicago, IL 60637. The listed phone number is (773) 834-3531.

What is Alexander Koo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexander Koo enrolled in Medicare?

Yes. Alexander Koo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Koo was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.