Provider Demographics
NPI:1952558363
Name:CAO, ANH THU P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANH THU
Middle Name:P
Last Name:CAO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANH
Other - Middle Name:
Other - Last Name:CAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3358 W TOUHY AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-7200
Mailing Address - Country:US
Mailing Address - Phone:847-763-9023
Mailing Address - Fax:847-763-9171
Practice Address - Street 1:959 W FULLERTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-2406
Practice Address - Country:US
Practice Address - Phone:773-248-0626
Practice Address - Fax:773-248-0453
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051292859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL051292859OtherREGISTERED PHARMACIST LICENSE NUMBER