Organization
CHINESE PROVIDER GROUP OF ILLINOIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MING XU MD (PRESIDENT)
(833) 308-8876
Entity
Organization
Contact information
Practice address
201 PARK PL STE 2, BOURBONNAIS, IL 60914-1883
(833) 308-8876
Mailing address
1106 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2535
(833) 308-8876
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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