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Individual

MARTIN VIET HOA NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2100 PFINGSTEN RD, GLENVIEW, IL 60026-1301
(847) 657-5800
Mailing address
2987 S JOSLIN CT, DENVER, CO 80227-3843
(720) 345-3083

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
085011321
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/07/2025
Last updated
09/08/2025
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