Individual
DR. ELIZABETH M.P. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2424 W PETERSON AVE, CHICAGO, IL 60659-4100
(773) 761-0300
(773) 761-0009
Mailing address
2424 W PETERSON AVE, CHICAGO, IL 60659-4100
(773) 761-0300
(773) 761-0009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036130697
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130697
—
IL
Enumeration date
06/18/2009
Last updated
01/31/2022
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