Individual
CHRISTINA VY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3125 S ASHLAND AVE STE 204, CHICAGO, IL 60608-6231
(773) 890-1100
Mailing address
1128 W LILL AVE UNIT 2, CHICAGO, IL 60614-2207
(469) 766-5110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011550
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2021
Last updated
10/14/2021
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