Gong, John H.
Gong, John H. is an individual health care provider with primary practice located at 900 W Il Route 22 Ste 100 , Lake Zurich IL 60047-3416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gong, John H. can be contacted via phone (847) 462-1700.Contact Information
Primary practice address
900 W Il Route 22 Ste 100
Lake Zurich IL 60047-3416
Phone: (847) 462-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-089072 | Illinois |
Profile Details
| NPI number | 1962414623 |
|---|---|
| LBN Legal business name | Gong, John H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jun 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962414623 | NPPES |
| Illinois | Other | 036089072 | STATE LICENSE |
| Illinois | MEDICAID | 036089072 | STATE LICENSE |
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