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Individual

GEORGE LINH NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
841 S. MARYLAND AVE, MC 4000, CHICAGO, IL 60637
(714) 312-8707
(714) 386-5308
Mailing address
841 S. MARYLAND AVE, MC 4000, CHICAGO, IL 60637

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT193699
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MT193699
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036137309
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MT193699
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036137309
ILLINOIS MEDICAL LICENSE
IL
01
25MA09539500
NEW JERSEY MEDICAL LICENSE
NJ
01
45440
ARIZONA MEDICAL LICENSE
AZ
01
MD449036
PENNSYLVANIA MEDICAL LICENSE
PA
01
MD60245943
WASHINGTON MEDICAL LICENSE
WA
01
MT193699
GRADUATE MEDICAL TRAINING LICENSE
PA
Enumeration date
07/02/2008
Last updated
02/09/2022
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