Mao, Qinwen

Mao, Qinwen is an individual health care provider with primary practice located at 710 N Fairbanks Ct Ste 2-458 , Chicago IL 60611-3013. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Mao, Qinwen can be contacted via phone (214) 590-8058.

Contact Information

Primary practice address
710 N Fairbanks Ct Ste 2-458 Chicago IL 60611-3013
Phone: (214) 590-8058
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 036125842 Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036125842 Illinois

Profile Details

NPI number 1053514513
LBN Legal business name Mao, Qinwen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Nov 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053514513 NPPES
Other BP1-0022464 INSTITUTIONAL PERMIT

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