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

Thomas Shao

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104672237

Thomas Shao is a Student in an Organized Health Care Education/Training Program in Evanston, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700
Phone: (847) 570-2700
Fax: (847) 570-2822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104672237
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

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