Individual
HUNG THE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 A EAST MAIN ST, NORRIS CITY, IL 62869
(618) 378-3440
(618) 378-3562
Mailing address
110 A EAST MAIN ST, PO BOX 464, NORRIS CITY, IL 62869
(618) 378-3440
(618) 378-3562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09727246
BCBS
IL
05
—
400000635001
—
IL
Enumeration date
07/05/2006
Last updated
01/15/2008
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