Provider Demographics
NPI:1750421582
Name:KUO, MAY C (MD)
Entity type:Individual
Prefix:DR
First Name:MAY
Middle Name:C
Last Name:KUO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 63RD ST
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-2982
Mailing Address - Country:US
Mailing Address - Phone:630-323-2300
Mailing Address - Fax:630-323-3157
Practice Address - Street 1:74 63RD ST
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-2982
Practice Address - Country:US
Practice Address - Phone:630-323-2300
Practice Address - Fax:630-323-3157
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036047954208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD12551Medicare UPIN