Doctor Name: | DR. NINH X TRAN |
NPI Number: | 1578659447 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036061453 |
Business Practice Address: | 3319 N Elston Ave Suite 100 Chicago, IL - 606185811 |
Business Phone Number: | 7737517200 |
Business Fax Number: | 7735834295 |
Mailing Address: | 3319 N Elston Ave, Suite 100 CHICAGO |
State: | IL |
Postal Code: | 606185811 |
Phone Number: | 7737517200 |
Fax Number: | 7735834295 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 05/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036061453 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |