Individual
SHUNYOU GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-3961
(312) 227-9616
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
036138683
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036138683
IL
Other
Enumeration date
05/06/2009
Last updated
06/20/2016
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