Individual
MS. VIVIAN H DIEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 878-8700
Mailing address
740 N ABERDEEN ST APT 1113, CHICAGO, IL 60642-6074
(612) 859-4657
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.166004
IL
Other
Enumeration date
04/02/2020
Last updated
02/15/2024
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