Individual
DR. JACQUELINE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1114 S CLINTON ST, CHICAGO, IL 60607-4434
(312) 254-9798
Mailing address
1130 S MICHIGAN AVE APT 2610, CHICAGO, IL 60605-2331
(317) 514-8536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033151
IL
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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