Individual
DR. HARRISON QUANMINH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 SOUTH FIRST AVE, MAYWOOD, IL 60153
(708) 216-9169
Mailing address
1418 WILSON AVE, WHEATON, IL 60187
(630) 221-1731
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125042888
IL
2083A0100X
Aerospace Medicine Physician
01056823A
IN
Other
Enumeration date
09/09/2005
Last updated
08/26/2008
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