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NPI Code Detail

MEDICARE: DR. NANCY NGUYEN

MEDICARE: DR. NANCY NGUYEN
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
1122300000XDentist019.030752IL

General Provider Information

NPI Number : 1477906287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY NGUYEN
Provider Business Mailing Address
First Line : 834 W MONTROSE AVE STE 101
Second Line :
City : CHICAGO
State : IL
Zip : 60613-1997
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 834 W MONTROSE AVE STE 101
Second Line :
City : CHICAGO
State : IL
Zip : 60613-1997
Country : US
Telephone Number : 773-459-6965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2016
Last Update Date : 07/16/2016

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Directions to “ DR. NANCY NGUYEN ” Practice Location

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