Provider Demographics
NPI:1548370059
Name:CHO, GILHO (PSYD)
Entity type:Individual
Prefix:
First Name:GILHO
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 SAGAMORE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1086
Mailing Address - Country:US
Mailing Address - Phone:330-467-7161
Mailing Address - Fax:330-467-7168
Practice Address - Street 1:5001 MAYFIELD RD
Practice Address - Street 2:SIUTE 200
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2602
Practice Address - Country:US
Practice Address - Phone:216-291-4000
Practice Address - Fax:216-291-4111
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4732103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0997597Medicaid
OH000000387381OtherANTHEM
OH000000387381OtherANTHEM