Individual
DR. WYNN HUGH KAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3024 E EMPIRE ST, STE E & F, BLOOMINGTON, IL 61704-5402
(309) 451-3376
(309) 452-3376
Mailing address
3024 E EMPIRE ST STE E&F, BLOOMINGTON, IL 61704-5402
(309) 451-3376
(309) 452-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.143480
IL
Other
Enumeration date
05/24/2007
Last updated
07/21/2022
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