Search › Illinois › 225700000X
Scott Kingphavong, LMT
NPI 1710333638 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5936 Essex Rd
Oak Forest, IL 60452 - Phone
- (779) 774-5493
Additional practice sites
- 7124 Windsor Lake Pkwy, Loves Park, IL
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-01
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