Individual
PHUONG-THAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4707 N BROADWAY ST STE 304, CHICAGO, IL 60640-7900
(810) 701-8029
Mailing address
4707 N BROADWAY ST STE 304, CHICAGO, IL 60640-7900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150113853
IL
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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