Individual
HUNG DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
965 LAKE ST, OAK PARK, IL 60301
(708) 386-3000
Mailing address
11967 CANERIDGE PL, SAN DIEGO, CA 92128-5239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-115012
IL
207Q00000X
Family Medicine Physician
036115012
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-115012
STATE LICENSE
IL
05
—
036115012
—
IL
Enumeration date
07/17/2006
Last updated
05/15/2018
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