Individual
DR. TITO G YAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5140 W CHICAGO AVE, GSK MEDICAL CENTER, CHICAGO, IL 60651-2903
(773) 287-0751
(773) 287-0451
Mailing address
322 TRINITY LN, OAK BROOK, IL 60523-2561
(773) 287-0751
(773) 287-0451
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036047145
IL
208D00000X
General Practice Physician
Primary
036047145
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047145
—
IL
Enumeration date
08/08/2006
Last updated
09/27/2016
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