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General NPI Number Information
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NPI Number | 1891147302
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Entity Type | Individual
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Provider Name | DONG-KHA TRAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 5841 S. MARYLAND AVENUE, M/C 6040
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City | CHICAGO
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State | IL
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Zip | 60637
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Country | US
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Telephone | 773-702-1000
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Fax | 773-702-2140
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Provider Business Mailing Address
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Address Line | 180 HARVESTER DR STE 110
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City | BURR RIDGE
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State | IL
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Zip | 60527-6686
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Country | US
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Telephone | 773-702-1150
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 125069263
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 01097689A
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License Number State | IN
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