Individual
DR. TOM M KAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., APN
Contact information
Practice address
1006 4TH ST, FULTON, IL 61252-1778
(815) 589-4616
Mailing address
1006 4TH ST, FULTON, IL 61252-1778
(815) 589-4616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038007086
IL
111N00000X
Chiropractor
A05807
IA
363L00000X
Nurse Practitioner
Primary
209031480
IL
363L00000X
Nurse Practitioner
A182619
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119974
—
IA
01
—
350043559
RAILROAD PROVIDER NUMBER
IL
05
—
38007086
—
IL
Enumeration date
10/10/2007
Last updated
04/29/2025
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