Individual
BAO T. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3825 HIGHLAND AVE STE 2M, DOWNERS GROVE, IL 60515-1548
(630) 275-5900
Mailing address
387 SHUMAN BLVD STE 240W, NAPERVILLE, IL 60563-8113
(630) 868-2200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-115129
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115129
—
IL
Enumeration date
05/10/2007
Last updated
12/18/2021
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