Healthcare Provider Details

I. General information

NPI: 1851073720
Provider Name (Legal Business Name): AOXUAN CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA CAO

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 W TAYLOR ST # 666
CHICAGO IL
60607-4623
US

IV. Provider business mailing address

1440 W TAYLOR ST # 666
CHICAGO IL
60607-4623
US

V. Phone/Fax

Practice location:
  • Phone: 312-685-2508
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: