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NPI Code Detail

MEDICARE: BOB KAO MD

MEDICARE: BOB KAO 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
12085R0204XVascular & Interventional Radiology Physician036094799IL
22085R0202XDiagnostic Radiology Physician036094799IL

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 : 1821009440
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOB KAO MD
Provider Business Mailing Address
First Line : 1635 N WINCHESTER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1321
Country : US
Telephone Number : 773-276-5886
Fax Number :
Provider Business Practice Location Address
First Line : 1635 N WINCHESTER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1321
Country : US
Telephone Number : 773-276-5886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 01/29/2023

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Directions to “ BOB KAO MD” Practice Location

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