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Individual

MR. VUTHIK T. CHHAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4800 W CHICAGO AVE, CHICAGO, IL 60651-3223
(773) 826-9600
(773) 826-9601
Mailing address
5316 N LEAVITT ST, CHICAGO, IL 60625-1113
(773) 561-3727
(773) 826-9601

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IL

Other

Enumeration date
04/09/2007
Last updated
07/08/2007
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