Individual
DR. JUSTIN T MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3825 HIGHLAND AVE FL TOWER24, DOWNERS GROVE, IL 60515-1552
(630) 719-4799
(630) 963-7420
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-124995
IL
207R00000X
Internal Medicine Physician
219331
MA
207RC0000X
Cardiovascular Disease Physician
036-124995
IL
207RC0000X
Cardiovascular Disease Physician
225456
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036-124995
IL
Other
Enumeration date
06/09/2005
Last updated
04/21/2025
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