MEDICARE: ANH-TUAN TRUONG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	ME99233	FL
2	208600000X	Surgery Physician	036110944	IL
3	208600000X	Surgery Physician	274794	NY
4	208600000X	Surgery Physician	01060655A	IN

General Provider Information

NPI Number	:	1467448563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANH-TUAN TRUONG MD

Provider Business Mailing Address
First Line	:	1 E ERIE ST
Second Line	:	SUITE 242
City	:	CHICAGO
State	:	IL
Zip	:	60611-2740
Country	:	US
Telephone Number	:	312-846-1529
Fax Number	:	312-846-1743

Provider Business Practice Location Address
First Line	:	1 E ERIE ST
Second Line	:	SUITE 242
City	:	CHICAGO
State	:	IL
Zip	:	60611-2740
Country	:	US
Telephone Number	:	312-846-1529
Fax Number	:	312-846-1743

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	09/11/2014

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Directions to “ ANH-TUAN TRUONG MD” Practice Location

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