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Individual

MRS. PHUONG HUYNH NAKAMURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-6137
Mailing address
1452 N CHELSEA AVE, PALATINE, IL 60067-2482
(847) 477-3624

Taxonomy

Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
164.003794
IL

Other

Enumeration date
11/16/2008
Last updated
11/16/2008
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