=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295010361
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VY HUONG HOANG DC PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2011
-----------------------------------------------------
Last Update Date | 10/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1S443 SUMMIT AVE STE 304B
-----------------------------------------------------
City | OAKBROOK TERRACE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60181-3973
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-613-9305
-----------------------------------------------------
Fax | 630-613-9336
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1S443 SUMMIT AVE STE 304B
-----------------------------------------------------
City | OAKBROOK TERRACE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60181-3973
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-613-9305
-----------------------------------------------------
Fax | 630-613-9336
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. VY HUONG HOANG
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 708-506-6112
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 038011045
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------