Individual
DR. EDWARD MING-LUAN GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, BOX 24, CHICAGO, IL 60611-2991
(312) 227-6340
(312) 227-9412
Mailing address
225 E CHICAGO AVE, BOX 24, CHICAGO, IL 60611-2991
(312) 227-6340
(312) 227-9412
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
236351
MA
Other
Enumeration date
03/23/2010
Last updated
11/16/2016
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