Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Qinwen Mao, MD

Individual provider Neuropathology Physician · NPI 1053514513

Qinwen Mao, MD is a Pathology in Chicago, Illinois. Qualified in 1989, 37 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
37
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

710 N Fairbanks Ct Ste 2-458
Chicago, IL 60611-3013
Phone: (214) 590-8058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036125842 (IL)
Neuropathology Physician Taxonomy 207ZN0500X · Licence 036125842 (IL)

Record details

NPI number1053514513
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2007
Last updated in NPPESNovember 20, 2021
Certification dateNovember 20, 2021
Mailing address710 N Fairbanks Ct Ste 2-458, Chicago, IL 60611-3013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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