Individual
DR. THAO T DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
523 SANDY LN, LIBERTYVILLE, IL 60048-3553
(847) 816-7245
Mailing address
523 SANDY LN, LIBERTYVILLE, IL 60048-3553
(847) 816-7245
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036.079568
IL
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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