Individual
LISA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4841 N RIDGEWAY AVE, CHICAGO, IL 60625-5714
(773) 987-7182
Mailing address
4841 N RIDGEWAY AVE, CHICAGO, IL 60625-5714
(773) 987-7182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041461857
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
041461857
IL
Other
Enumeration date
09/20/2021
Last updated
12/18/2023
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