Individual
DAC-NHA LE TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(954) 376-1118
Mailing address
717 S CLARK ST UNIT 1213, CHICAGO, IL 60605-1797
(954) 376-1118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011771
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/29/2023
Last updated
08/23/2023
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