Healthcare Provider Details

I. General information

NPI: 1255308565
Provider Name (Legal Business Name): ALLEN KUO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2006
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HART RD STE 130
BARRINGTON IL
60010-2668
US

IV. Provider business mailing address

1130 S BROCKWAY ST
PALATINE IL
60067-7211
US

V. Phone/Fax

Practice location:
  • Phone: 847-737-5277
  • Fax: 847-737-5280
Mailing address:
  • Phone: 847-737-5277
  • Fax: 847-737-5280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036-101254
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: