Individual
HOANG HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 W ROOSEVELT RD, CHICAGO, IL 60624-4339
(773) 542-1232
Mailing address
3401 W ROOSEVELT RD, CHICAGO, IL 60624-4339
(773) 542-1232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051301827
IL
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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