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

Nathaniel Koo

Individual provider Pediatric Surgery Physician · NPI 1467626184

Nathaniel Koo is a Pediatric Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

840 S Wood St Ste 518-E
Chicago, IL 60612-4325
Phone: (312) 996-6765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 036133774 (IL)
Surgery Physician Taxonomy 208600000X · Licence 036133774 (IL)

Record details

NPI number1467626184
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2008
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021
Mailing address1012 N Wood St Unit 2, Chicago, IL 60622-3261

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