Nguyen, Dzung X

Nguyen, Dzung X is an individual health care provider with primary practice located at 6201 W 95Th St , Oak Lawn IL 60453-3888. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Nguyen, Dzung X can be contacted via phone (708) 636-9393.

Contact Information

Primary practice address
6201 W 95Th St Oak Lawn IL 60453-3888
Phone: (708) 636-9393
Fax: (708) 636-2022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 046009744 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 046009744 Illinois

Profile Details

NPI number 1205826708
LBN Legal business name Nguyen, Dzung X
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 9th, 2021 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205826708 NPPES
Illinois MEDICAID 562331325-60453-01
Illinois MEDICAID 046009744

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