Gong, Chao

Gong, Chao is an individual health care provider with primary practice located at 24 Joliet St , Dyer IN 46311-1705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Gong, Chao can be contacted via phone (219) 865-2141.

Contact Information

Primary practice address
24 Joliet St Dyer IN 46311-1705
Phone: (219) 865-2141
Fax: (219) 852-2502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01067742A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-122754 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01067742A Indiana

Profile Details

NPI number 1073836706
LBN Legal business name Gong, Chao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2010
Last updated Dec 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073836706 NPPES
Indiana MEDICAID 201008030A

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