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1316238736

NPI Code Detail

MEDICARE: TU TUAN CAO DO

MEDICARE: TU TUAN CAO DO

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	207RC0000X	Cardiovascular Disease Physician	036144807	IL
2	207RC0000X	Cardiovascular Disease Physician	OP61019920	WA
3	207RC0000X	Cardiovascular Disease Physician	34.014221	OH
4	207RC0000X	Cardiovascular Disease Physician	83-321	WI
5	390200000X	Student in an Organized Health Care Education/Training Program		OK
6	207RI0011X	Interventional Cardiology Physician	S5571	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316238736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TU TUAN CAO DO

Provider Business Mailing Address
First Line	:	500 N WALL ST
Second Line	:
City	:	KANKAKEE
State	:	IL
Zip	:	60901-2942
Country	:	US
Telephone Number	:	844-404-4787
Fax Number	:	815-936-3243

Provider Business Practice Location Address
First Line	:	3270 JOE BATTLE BLVD STE 215
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-2651
Country	:	US
Telephone Number	:	915-206-2999
Fax Number	:

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

Provider Enumeration Date	:	04/20/2011
Last Update Date	:	08/27/2025

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Directions to “ TU TUAN CAO DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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