MEDICARE: KAREN MAO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1073468963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN MAO

Provider Business Mailing Address
First Line	:	855 W MADISON ST APT 1603
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3140
Country	:	US
Telephone Number	:	857-272-5045
Fax Number	:

Provider Business Practice Location Address
First Line	:	855 W MADISON ST APT 1603
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3140
Country	:	US
Telephone Number	:	857-272-5045
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ KAREN MAO ” Practice Location

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