Grace Ann Kao, M.D.
Individual provider Active NPI Pediatrics Physician · Lindenhurst, IL
NPI 1003160243 · NPPES record last updated Nov 8, 2012
Key facts
- NPI
- 1003160243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 036.094795 (IL)
- Practice address
- 2031 E Grand Ave
#200
Lindenhurst, IL 60046-9041 - Phone
- (847) 356-5575
- Fax
- (847) 356-1792
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.094795 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg Illinois LTD | Past | Accepting new patients | |
| Amg Illinois LTD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.094795 | IL | Yes |
Addresses
Primary practice location
2031 E Grand Ave
#200
Lindenhurst, IL 60046-9041
Mailing address
2031 E Grand Ave
#200
Lindenhurst, IL 60046-9041
Phone (847) 356-5575
Other names
- Grace Ann Kuo
Other providers in Lindenhurst, IL
- Jennifer Ann Johnson
- Jelissa Jones
- Esha Jose
- Samantha Kohen Josen
- Beata Kaczkowski
- Amy Christine Kaylor
- Christine Kharasch
- Kristoffer Daniel Knapp
- Julia Kogan
- Eva M Kozlowski
All providers in Lindenhurst, IL · Pediatrics Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.