Individual
QI TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-7913
Mailing address
9280 SENATE DR APT 2H, DES PLAINES, IL 60016-6954
(224) 567-8894
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
246378
NY
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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