Individual
DR. JAY BLONG LUE XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(847) 578-3000
Mailing address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(847) 578-3000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
036.174878
IL
390200000X
Student in an Organized Health Care Education/Training Program
81790-21
WI
Other
Enumeration date
03/31/2022
Last updated
11/28/2025
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