Individual
DZUNG X NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6201 W 95TH ST, OAK LAWN, IL 60453-3888
(708) 636-9393
(708) 636-2022
Mailing address
4700 W 95TH ST, SUITE 102, OAK LAWN, IL 60453-2533
(309) 788-5524
(309) 788-9550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009744
IL
207W00000X
Ophthalmology Physician
046009744
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009744
—
IL
05
—
562331325-60453-01
—
IL
Enumeration date
10/26/2005
Last updated
01/05/2026
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