Guo, Jingtao J

Guo, Jingtao J is an individual health care provider with primary practice located at 2252 S Canal St Ste 201 , Chicago IL 60616-1838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Guo, Jingtao J can be contacted via phone (312) 225-5829.

Contact Information

Primary practice address
2252 S Canal St Ste 201 Chicago IL 60616-1838
Phone: (312) 225-5829
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-107010 Illinois

Profile Details

NPI number 1649263120
LBN Legal business name Guo, Jingtao J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated May 27th, 2022 - about 2 years ago

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 1649263120 NPPES
Illinois MEDICAID 036-107010-2

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