Individual
KIEV ANH HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5715 N MAPLEWOOD AVE, CHICAGO, IL 60659-5117
(773) 780-9297
Mailing address
5715 N MAPLEWOOD AVE, CHICAGO, IL 60659-5117
(773) 780-9297
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG03220112
IL
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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