Individual
ELIZABETH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3919 W FOSTER AVE, CHICAGO, IL 60625-6056
(773) 279-3590
Mailing address
5043 N CLARK ST, CHICAGO, IL 60640-8560
(872) 203-3259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015257
IL
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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