Search › Illinois › 174400000X
Dat Ly Nguyen
NPI 1487974689 · on the registry since 2010
Practice
- Address
- 2649 S 75 Th Street
Chicago, IL 60649 - Phone
- (773) 721-5845
- Fax
- (773) 721-5842
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois