Provider Demographics
NPI:1255308565
Name:KUO, ALLEN (DO)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:
Last Name:KUO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 S BROCKWAY ST
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-7211
Mailing Address - Country:US
Mailing Address - Phone:847-737-5277
Mailing Address - Fax:847-737-5280
Practice Address - Street 1:1000 HART RD STE 130
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2668
Practice Address - Country:US
Practice Address - Phone:847-737-5277
Practice Address - Fax:847-737-5280
Is Sole Proprietor?:No
Enumeration Date:2006-03-06
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-1012542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH31590Medicare UPIN