Individual
KABAO VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 E 93RD ST STE 3610, CHICAGO, IL 60617-3913
(773) 967-5932
(773) 967-5942
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.161524
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
04/18/2019
Last updated
08/23/2022
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