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JASMINE WANG CHAO D.O. LTD. NPI 1689904500


NPI Information

NPI: 1689904500
Provider Name: JASMINE WANG CHAO, D.O., LTD.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1308 WAUKEGAN RD
SUITE 202
GLENVIEW, IL
ZIP 60025
Phone: (847) 657-8588
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JASMINE WANG CHAO, D.O., LTD. is a family medicine in Glenview, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JASMINE WANG CHAO, D.O., LTD. NPI is 1689904500. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1308 WAUKEGAN RD
SUITE 202
GLENVIEW, IL
ZIP 60025-070
Phone: (847) 657-8588
Fax: (847) 657-8778

The provider's authorized official is Mark Chao .
The authorized official title is Corp. Secretary and has the following contact phone number (847) 657-8588.

The enumeration date for this NPI number is 12/29/2009 and was last updated on 4/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0000XFamily MedicineAdolescent Medicine036107878ILLINOISNo
2207QA0505XFamily MedicineAdult Medicine036107878ILLINOISNo
3207QG0300XFamily MedicineGeriatric Medicine036107878ILLINOISNo
4207Q00000XFamily Medicine036107878ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1206288MEDICARE UPINILLINOIS
2036107878MEDICAIDILLINOIS
3206288MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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