Individual
KENNY DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
784 SKOKIE BLVD, NORTHBROOK, IL 60062-2805
(847) 559-1214
(847) 559-0052
Mailing address
1119 HAWTHORNE LN, ELK GROVE VILLAGE, IL 60007-7239
(714) 495-8495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051302581
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051302581
IL
Other
Enumeration date
10/03/2019
Last updated
06/07/2026
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