Provider Demographics
NPI:1942233374
Name:SZETO, CAROLINE M (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:M
Last Name:SZETO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 N. WINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1295
Mailing Address - Country:US
Mailing Address - Phone:630-933-4700
Mailing Address - Fax:630-933-4427
Practice Address - Street 1:25 N. WINFIELD RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1295
Practice Address - Country:US
Practice Address - Phone:630-933-4700
Practice Address - Fax:630-933-4427
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-066921207R00000X
IL036066921208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
L18460OtherINDIVIDUAL MEDICARE #
IL206147239OtherMEDICARE PTAN (INDIVIDUAL)
IL206147239OtherMEDICARE INDIVIDUAL
IL036066921 2Medicaid
IL206147OtherMEDICARE PTAN (GROUP)
IL206147OtherMEDICARE GROUP
IL9919630OtherBCBS
ILCA4748OtherMEDICARE RAILROAD (GROUP PTAN)
ILP01216937OtherMEDICARE RAILROAD (PROVIDER PTAN)
ILCA4748OtherMEDICARE RAILROAD (GROUP PTAN)