Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jae Ko, DDS

Individual provider General Practice Dentistry · NPI 1013106830

Jae Ko, DDS is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3434 W Peterson Ave Ste 1D
Chicago, IL 60659-3319
Phone: (872) 208-7573
Fax: (872) 806-0113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019027485 (IL)

Record details

NPI number1013106830
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 17, 2007
Last updated in NPPESMay 2, 2015
Mailing address2840 W Berwyn Ave, Chicago, IL 60625-3402

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