Individual provider · Type 1 NPI

Qingshen Gao, MD

Student in an Organized Health Care Education/Training Program · Evanston, IL

NPI number 1487716965 Active

Practice location

1001 University Pl, Suite 304
Evanston, IL 60201-3137

Call (224) 364-7531 Map

Fax (224) 364-7402

Mailing address

2650 Ridge Ave, Evanston Hospital
Evanston, IL 60201-1718

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487716965

Qingshen Gao, MD's National Provider Identifier is 1487716965, issued on Dec 14, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Evanston, IL. The record was last updated on Jul 8, 2007.