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Contact Information

JENNY BAO
7435 W TALCOTT AVE
CHICAGO, IL60631
 Phone: 773-792-7921
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JENNY BAO · (Female)

NPI Number 1275947095
Status Active
Credentials
Entity Individual
Enumeration date 06/19/2014
Last updated 06/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125064665
  • MO License # 2017010604
Hospital affiliation(s)
  • SSM ST MARYS HEALTH CENTER - (Acute Care)
    6420 CLAYTON RD
    RICHMOND HEIGHTS, MO 63117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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