Provider Demographics
NPI:1689647349
Name:HAO, CRISPIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CRISPIN
Middle Name:
Last Name:HAO
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 1:1300 N HIGHLAND AVE
Mailing Address - Street 2:SUITE #4
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1451
Mailing Address - Country:US
Mailing Address - Phone:630-896-7788
Mailing Address - Fax:630-896-7794
Practice Address - Street 1:1300 N HIGHLAND AVE
Practice Address - Street 2:SUITE #4
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1451
Practice Address - Country:US
Practice Address - Phone:630-896-7788
Practice Address - Fax:630-896-7794
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics