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NHUE LAP DO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5580
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
237832
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036-170095
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
59028
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME132548
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MT211366
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020952500
FL
Enumeration date
07/14/2008
Last updated
03/25/2026
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