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Individual

LINH NGO KHANH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8600 N STATE ROUTE 91, PEORIA, IL 61615-9541
(309) 589-2050
(309) 589-2833
Mailing address
8600 N STATE ROUTE 91, PEORIA, IL 61615-9541
(309) 589-2050
(309) 589-2833

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036175869
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/09/2015
Last updated
07/10/2025
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