Individual provider · NPI-1

Phuong Huynh Nakamura

General Acute Care Hospital, Children · Park Ridge, IL

NPI number1972757052
StatusActive
Last updated in NPPESNov 16, 2008

Details

NPI
1972757052
Entity type
Individual (NPI-1)
Name
Mrs. Phuong Huynh Nakamura
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 16, 2008
Last updated
Nov 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282NC2000X General Acute Care Hospital, Children164.003794ILYes

Practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Phone 847-723-6137

Mailing address

1452 N Chelsea Ave
Palatine, IL 60067-2482

Phone 847-477-3624

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