Provider Demographics
NPI:1194797266
Name:CAO, THOMAS L (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:L
Last Name:CAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:LEQUN
Other - Last Name:CAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1600 N RANDALL RD
Mailing Address - Street 2:STE 135
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-7810
Mailing Address - Country:US
Mailing Address - Phone:847-717-6860
Mailing Address - Fax:847-717-6872
Practice Address - Street 1:1435 NORTH RANDALL ROAD
Practice Address - Street 2:SUITE 402
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123
Practice Address - Country:US
Practice Address - Phone:847-717-6860
Practice Address - Fax:847-717-6872
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036098274207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036098274Medicaid
IL04528012OtherBC/BS
IL036098274Medicaid
ILK06635Medicare PIN
IL04528012OtherBC/BS