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Dat Ly Nguyen
Specialist in Chicago, Illinois
NPI 1487974689

Dat Ly Nguyen is a Specialist based in Chicago, IL. Dat Ly Nguyen practices in Chicago, IL. The NPI Number for Dat Ly Nguyen is 1487974689 and holds a License No. 056007022 (Illinois).

The current practice location address for Dat Ly Nguyen is 2649 S 75 Th Street, Chicago, IL and can be reached out via phone at 773-721-5845 and via fax at 773-721-5842.

Location: 2649 S 75 Th Street, Chicago, IL, 60649-5497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487974689
Provider Name
Dat Ly Nguyen
Credential
Provider Entity Type
Individual
Gender
Male
Address
2649 S 75 Th Street, Chicago, IL, 60649-5497
Phone Number
773-721-5845
Fax Number
773-721-5842
Provider Enumeration Date
06/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2649 S 75 Th Street
City
Chicago
State
Illinois
Zip
60649-3835
Phone Number
773-721-5845
Fax Number
773-721-5842
person
Provider Business Mailing Address Details
Address
2649 S 75 Th Street
City
Chicago
State
Illinois
Zip
60649-3835
Phone Number
773-721-5845
Fax Number
773-721-5842
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
056007022 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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