Organization
NOAA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUNG TRAN PA-C (MEDICAL OFFICER)
(630) 346-4996
Entity
Organization
Contact information
Practice address
1136 AMHERST CT, LAKE ZURICH, IL 60047-2776
(630) 346-4996
Mailing address
1136 AMHERST CT, LAKE ZURICH, IL 60047-2776
(630) 346-4996
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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