Individual provider · Type 1 NPI

Justin Chacko, DO

Critical Care Medicine (Internal Medicine) Physician · Philadelphia, PA

NPI number 1306227038 Active

Practice location

2601 Holme Ave
Philadelphia, PA 19152-2007

Mailing address

501 Madison Ave
Scranton, PA 18510-2401

Other practice locations

  • 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 · (702) 616-5615
  • 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 · (702) 492-8614

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200XCL0262 (NV)
Internal Medicine Physician 207R00000XOT016725 (PA)
Internal Medicine Physician 207R00000XCL0262 (NV)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

177 other providers at this address

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About NPI 1306227038

Justin Chacko, DO's National Provider Identifier is 1306227038, issued on Jun 18, 2015. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 25, 2026.