Individual
MISS ROSA T ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3430 N LAKE SHORE DR APT 7L, CHICAGO, IL 60657-2834
(773) 248-9821
(773) 248-9821
Mailing address
3430 N LAKE SHORE DR APT 7L, CHICAGO, IL 60657-2834
(773) 248-9821
(773) 248-9821
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
36054291
IL
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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