Healthcare Provider Details

I. General information

NPI: 1588625677
Provider Name (Legal Business Name): VU T HOANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 W CENTRAL RD SUITE 3300
ARLINGTON HEIGHTS IL
60005-2355
US

IV. Provider business mailing address

2650 WARRENVILLE RD
DOWNERS GROVE IL
60515-1748
US

V. Phone/Fax

Practice location:
  • Phone: 224-735-2937
  • Fax: 224-735-3408
Mailing address:
  • Phone: 630-324-7900
  • Fax: 630-271-1813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number01083962A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number036-131988
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: