Individual
DR. XUAN AU-TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(630) 856-3075
Mailing address
2233 W. DIVISION STREET, CHICAGO, IL 60622-4906
(312) 770-3264
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036082414
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399980
GROUP MEDICARE PTAN
IL
Enumeration date
02/13/2007
Last updated
08/14/2017
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