Individual
XIAOYING QIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-0192
Mailing address
PO BOX 5966, CAROL STREAM, IL 60197-5966
(877) 861-9294
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
036-109886
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109886
—
IL
Enumeration date
07/03/2006
Last updated
08/24/2011
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