Individual
DAVID KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3200 GRANT ST, EVANSTON, IL 60201-1903
(847) 853-9100
(847) 853-9103
Mailing address
1921 LAKE AVE STE B, WILMETTE, IL 60091-1480
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036062521
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062521
—
IL
Enumeration date
09/20/2006
Last updated
06/05/2008
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