Individual provider Active NPI

Ling Gao

  • Molecular Genetic Pathology (Pathology) Physician
  • Burr Ridge, IL
National Provider Identifier
1457797300
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X
License
40852 Issued in IA
Practice address
8238 S Madison St
Burr Ridge, IL 60527-5811
Phone
(630) 828-2286
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X 40852 IA Primary

Addresses

Primary practice location

8238 S Madison St
Burr Ridge, IL 60527-5811

Mailing address

8238 S Madison St
Burr Ridge, IL 60527-5811
Phone (630) 828-2286

Other practice location 1

200 Hawkins Dr
UIHC, Pathology
Iowa City, IA 52242-1009
Phone (319) 384-8054

Other identifiers 1

IdentifierTypeStateIssuer
P01644387OtherILRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40852IAMDMolecular Genetic Pathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Pathologist Services, LLC CurrentSince Apr 29, 2018 Accepting new patients
Gopath Pathology Associates, SC CurrentSince Mar 26, 2016 Accepting new patients
Medical Diagnostic Laboratories,LLC CurrentSince Nov 6, 2022 Accepting new patients
Wellness Way Burr Ridge LLC PastSince Aug 11, 2019 Accepting new patients

Locations

2222 53rd Ave
Bettendorf, IA 52722
Phone (319) 383-2686

1359 Barclay Blvd
Buffalo Grove, IL 60089

1000 Corporate Grove Dr
Buffalo Grove, IL 60089
Phone (224) 588-9940

1351 Barclay Blvd
Buffalo Grove, IL 60089
Phone (224) 588-9940

8238 S Madison St
Burr Ridge, IL 60527
Phone (630) 560-0536

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1457797300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8238 S MADISON ST",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275811",
            "telephone_number": "630-828-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8238 S MADISON ST",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275811",
            "telephone_number": "630-828-2286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_2": "UIHC, Pathology",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-384-8054",
            "fax_number": "319-467-5193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAO",
        "first_name": "LING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "IA",
            "license": "40852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01644387",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.