Healthcare Provider Details

I. General information

NPI: 1598227068
Provider Name (Legal Business Name): CAROLYN CAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

539 N DEARBORN ST
CHICAGO IL
60654-4812
US

IV. Provider business mailing address

539 N DEARBORN ST
CHICAGO IL
60654-4812
US

V. Phone/Fax

Practice location:
  • Phone: 312-549-4400
  • Fax: 312-549-4401
Mailing address:
  • Phone: 312-549-4400
  • Fax: 312-549-4401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036.167621
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.167621
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: