Individual provider · Type 1 NPI

Dat Ly Nguyen

Specialist · Chicago, IL

NPI number 1487974689 Active

Practice location

2649 S 75 Th Street
Chicago, IL 60649-3835

Call (773) 721-5845 Map

Fax (773) 721-5842

Mailing address

7855 South Shore Dr, 3E
Chicago, IL 60649-5497

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X056007022 (IL)

Specialist: 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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About NPI 1487974689

Dat Ly Nguyen's National Provider Identifier is 1487974689, issued on Jun 10, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jun 10, 2010.