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Organization
TOM M KAO DC PC
Active
Organization
TOM M KAO DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM M KAO DC (OWNER)
(815) 273-5022
Entity
Organization
Contact information
Practice address
202 MAIN ST, SAVANNA, IL 61074-1628
(815) 273-5022
(815) 273-5022
Mailing address
202 MAIN ST, SAVANNA, IL 61074-1628
(815) 273-5022
(815) 273-5022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38007086
—
IL
Enumeration date
11/23/2005
Last updated
08/22/2020
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