Individual
MS. QUYEN THI BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 BUSCH PKWY STE 100, BUFFALO GROVE, IL 60089-4541
(847) 459-7860
Mailing address
5404 N CENTRAL AVE, APT #1, CHICAGO, IL 60630-1305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005040
IL
Other
Enumeration date
04/15/2014
Last updated
12/10/2018
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