| Jasmine Wang Chao, D.o., Ltd. | |
|
1308 Waukegan Rd Suite 202 Glenview IL 60025-3070 | |
| (847) 657-8588 | |
| (847) 657-8778 |
| Full Name | Jasmine Wang Chao, D.o., Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 1308 Waukegan Rd, Glenview, Illinois |
| Authorized Official Name and Position | Mark Chao (CORP. SECRETARY) |
| Authorized Official Contact | 8476578588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Wang Chao, D.o., Ltd. Po Box 1666 Skokie IL 60076-8666 Ph: (847) 657-8588 | Jasmine Wang Chao, D.o., Ltd. 1308 Waukegan Rd Suite 202 Glenview IL 60025-3070 Ph: (847) 657-8588 |
| NPI Number | 1689904500 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 04/28/2010 |
| Medicare PECOS PAC ID | 6204961584 |
|---|---|
| Medicare Enrollment ID | O20100312000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689904500 | NPI | - | NPPES |
| 036107878 | Medicaid | IL |
| Provider Name | Jasmine Y Chao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679510812 PECOS PAC ID: 8628067097 Enrollment ID: I20040511000091 |
| Provider Name | Mallika Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497113708 PECOS PAC ID: 9638465255 Enrollment ID: I20160908001075 |
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