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NPI Code Detail

MEDICARE: MS. KAI TAO CNM, MS

MEDICARE: MS. KAI TAO CNM, MS
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
1367A00000XAdvanced Practice Midwife209005718IL

General Provider Information

NPI Number : 1861412637
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAI TAO CNM, MS
Provider Business Mailing Address
First Line : 850 N DEWITT PL
Second Line : APT. 12F
City : CHICAGO
State : IL
Zip : 60611-2361
Country : US
Telephone Number : 773-706-0191
Fax Number :
Provider Business Practice Location Address
First Line : 18 S MICHIGAN AVE
Second Line : 6TH FLOOR
City : CHICAGO
State : IL
Zip : 60603-3200
Country : US
Telephone Number : 312-592-6800
Fax Number : 312-592-6801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 11/03/2011

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