Individual
KENNETH HONG GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 N RAVENSWOOD AVE, CHICAGO, IL 60640-4510
(773) 561-7500
(773) 561-7612
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036106356
IL
Other
Enumeration date
04/16/2007
Last updated
04/09/2025
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