Individual
DIEP TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 522-2010
Mailing address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 565-3250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020630
IL
Other
Enumeration date
12/18/2019
Last updated
09/16/2022
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