Individual
DZUNG V. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036094757
IL
207L00000X
Anesthesiology Physician
Primary
G73101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094757
—
IL
01
—
364138353
TAX ID
IL
01
—
400130
GROUP MEDICARE PTAN
—
01
—
CN4921
RRMC
—
Enumeration date
08/28/2006
Last updated
02/03/2017
Update your record
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