Individual
LING GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8238 S MADISON ST, BURR RIDGE, IL 60527-5811
(630) 828-2286
Mailing address
8238 S MADISON ST, BURR RIDGE, IL 60527-5811
(630) 828-2286
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
40852
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01644387
RAILROAD
IL
Enumeration date
05/20/2013
Last updated
05/03/2022
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