Individual
DR. CHAU MINH DAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
834 W MONTROSE AVE, SUITE 101, CHICAGO, IL 60613-5813
(773) 989-9160
(773) 989-9165
Mailing address
2516 W PETERSON AVE, CHICAGO, IL 60659-4109
(773) 743-4050
(773) 743-3711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025873
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203524368
EMPLOYER TAX IDENTIFICATION NUMBER
IL
01
—
203524551
EMPLOYER TAX IDENTIFICATION NUMBER
IL
Enumeration date
06/30/2008
Last updated
06/30/2008
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