Jasmine Wang Chao, D.O., LTD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036107878 Issued in IL

Legal business name

JASMINE WANG CHAO, D.O., LTD.

Practice address

1308 Waukegan Rd
Suite 202
Glenview, IL 60025-3070

Phone

(847) 657-8588

Fax

(847) 657-8778

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Mark Chao, PH.D.

Title

Corp. Secretary

Phone

(847) 657-8588

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Chao, DO

  • Family Medicine Physician
  • Glenview, IL
  • NPI 1679510812
  Medicare reassignment NPD

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1689904500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1666",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600768666",
            "telephone_number": "847-657-8588",
            "fax_number": "847-657-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 WAUKEGAN RD",
            "address_2": "SUITE 202",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253070",
            "telephone_number": "847-657-8588",
            "fax_number": "847-657-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE WANG CHAO, D.O., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CORP. SECRETARY",
        "authorized_official_telephone_number": "847-657-8588",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036107878",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "IL",
            "license": "036107878",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036107878",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036107878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107878",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucia Janasova
• Jane V. Dyonzak, PH.D.
• Pareshkumar D Jani, M.D.
• Lisa L Janssen, PTA
• Laura Jarosz, PA-C
• Griselda Jaupi
• Manushaqe Jaupi
• Carrie A. Jaworski, MD
• Erin Jaworski
• JDC Partners PLLC

• Family Medicine Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.