Individual
MR. GOLD A SIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
350 HOUBOLT RD, STE 209, JOLIET, IL 60431-8305
(815) 513-8056
Mailing address
27021 RUSTIC WOOD LN, PLAINFIELD, IL 60585-2955
(815) 995-2591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014341
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356528
GROUP ANTHEM BCBS
IN
Enumeration date
07/17/2006
Last updated
02/26/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us