Provider Demographics
NPI:1982965893
Name:CHO-DORADO, MICHELE E (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:E
Last Name:CHO-DORADO
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 1:1675 DEMPSTER ST
Mailing Address - Street 2:YACTMAN PAVILION, 3RD FLOOR
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1110
Mailing Address - Country:US
Mailing Address - Phone:847-723-7700
Mailing Address - Fax:847-723-9418
Practice Address - Street 1:1675 DEMPSTER ST
Practice Address - Street 2:YACTMAN PAVILION, 3RD FLOOR
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1110
Practice Address - Country:US
Practice Address - Phone:847-723-7700
Practice Address - Fax:847-723-9418
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1301992080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology