Provider Demographics
NPI:1811176142
Name:TAO, LAURENT SZE-WEI (MD)
Entity type:Individual
Prefix:DR
First Name:LAURENT
Middle Name:SZE-WEI
Last Name:TAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N LAKE SHORE DR APT 2308
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6248
Mailing Address - Country:US
Mailing Address - Phone:773-477-5598
Mailing Address - Fax:
Practice Address - Street 1:2800 N LAKE SHORE DR APT 2308
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6248
Practice Address - Country:US
Practice Address - Phone:773-477-5598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine