Individual
HONG THOAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Mailing address
625 N BRYAN AVE APT 14, CARTERVILLE, IL 62918-1019
(832) 870-6081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036173827
IL
Other
Enumeration date
07/14/2022
Last updated
07/11/2025
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