Individual
NONG THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
204 N GENESEE ST, WAUKEGAN, IL 60085-4262
(847) 441-5600
Mailing address
4225 TIGER LILY LN APT 310, GURNEE, IL 60031-9641
(920) 645-1604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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