MEDICARE: CAROLYN CAO MD

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	208M00000X	Hospitalist Physician	036.167621	IL
2	207R00000X	Internal Medicine Physician	036.167621	IL

General Provider Information

NPI Number	:	1598227068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN CAO MD

Provider Business Mailing Address
First Line	:	539 N DEARBORN ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4812
Country	:	US
Telephone Number	:	312-549-4400
Fax Number	:	312-549-4401

Provider Business Practice Location Address
First Line	:	539 N DEARBORN ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4812
Country	:	US
Telephone Number	:	312-549-4400
Fax Number	:	312-549-4401

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

Provider Enumeration Date	:	04/03/2019
Last Update Date	:	02/26/2026

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Directions to “ CAROLYN CAO MD” Practice Location

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