Individual
MR. ANTHONY HOANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2122 YORK RD, OAK BROOK, IL 60523-1930
(877) 284-5384
Mailing address
6430 N MAPLEWOOD AVE, CHICAGO, IL 60645-5316
(312) 459-0091
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004639
IL
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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