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Individual

JOHN H. GONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
304 FOX GLEN CT, BARRINGTON, IL 60010-1818
(847) 462-1700
Mailing address
25 TELSER RD UNIT 178, LAKE ZURICH, IL 60047-3608

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-089072
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036089072
STATE LICENSE
IL
05
036089072
IL
Enumeration date
08/12/2006
Last updated
06/12/2025
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