Individual
DR. MAI NGOC XUAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3660 N LAKE SHORE DR, UNIT # 3808, CHICAGO, IL 60613-5300
(773) 307-5056
Mailing address
3660 N LAKE SHORE DR, UNIT # 3808, CHICAGO, IL 60613-5300
(773) 307-5056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.131826
IL
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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