Yao, Tito G
Yao, Tito G is an individual health care provider with primary practice located at 5140 W Chicago Ave Gsk Medical Center, Chicago IL 60651-2903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Yao, Tito G can be contacted via phone (773) 287-0751.Contact Information
Primary practice address
5140 W Chicago Ave Gsk Medical Center
Chicago IL 60651-2903
Phone: (773) 287-0751
Fax: (773) 287-0451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036047145 | Illinois |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036047145 | Illinois |
Profile Details
| NPI number | 1043220742 |
|---|---|
| LBN Legal business name | Yao, Tito G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Sep 27th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043220742 | NPPES |
| Illinois | MEDICAID | 036047145 |
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