Individual
DR. THERESA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-8785
Mailing address
167 MAYO CT, ELMHURST, IL 60126-5158
(215) 498-2101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036138662
IL
207P00000X
Emergency Medicine Physician
C7-0004076
DE
Other
Enumeration date
05/13/2008
Last updated
04/30/2021
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