Provider Demographics
NPI:1548426364
Name:GO YAO, EDWIN S (PT)
Entity Type:Individual
Prefix:MR
First Name:EDWIN
Middle Name:S
Last Name:GO YAO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:EDWIN
Other - Middle Name:S
Other - Last Name:GO YAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:2536 MC DUFFEE CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-2026
Mailing Address - Country:US
Mailing Address - Phone:630-907-2523
Mailing Address - Fax:
Practice Address - Street 1:400 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-3814
Practice Address - Country:US
Practice Address - Phone:630-892-4355
Practice Address - Fax:630-482-8106
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070007443225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist