Organization
TITO GO YAO MD SC
Active
Parent organization
TITO GO YAO MD SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TITO GO YAO MD SC
Authorized official
DR. TITO GO YAO (MD)
(773) 287-0751
Entity
Organization
Contact information
Practice address
5140 W CHICAGO AVE, CHICAGO, IL 60651-2903
(773) 287-0751
(773) 287-0451
Mailing address
322 TRINITY LN, OAK BROOK, IL 60523-2561
(773) 287-0751
(630) 850-7679
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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