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NPI Code Detail

MEDICARE: TOM M KAO DC PC

MEDICARE: TOM M KAO DC PC
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
1111N00000XChiropractor

Other Identifiers

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

General Provider Information

NPI Number : 1790768620
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOM M KAO DC PC
Provider Business Mailing Address
First Line : 202 MAIN ST
Second Line :
City : SAVANNA
State : IL
Zip : 61074-1628
Country : US
Telephone Number : 815-273-5022
Fax Number : 815-273-5022
Provider Business Practice Location Address
First Line : 202 MAIN ST
Second Line :
City : SAVANNA
State : IL
Zip : 61074-1628
Country : US
Telephone Number : 815-273-5022
Fax Number : 815-273-5022
Authorized Official
Title or Position : OWNER
Name : TOM M KAO
Credential : DC
Telephone Number : 815-273-5022
Provider Enumeration Date : 11/23/2005
Last Update Date : 08/22/2020

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Directions to “TOM M KAO DC PC ” Practice Location

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