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Individual

KHOA NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, CNP

Contact information

Practice address
1111 W KENYON RD STE B, URBANA, IL 61801-1010
(217) 819-3376
(217) 729-7788
Mailing address
1111 W KENYON RD STE B, URBANA, IL 61801-1010
(217) 819-3376
(217) 729-7788

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209023980
IL

Other

Enumeration date
09/10/2021
Last updated
08/22/2023
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