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Contact Information

PHUONG H NAKAMURA
1775 DEMPSTER ST
PARK RIDGE, IL60068-1143
 Phone: 847-723-6137
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
Indicates primary specialty

NPI Profile & details for PHUONG H NAKAMURA · (Female)

NPI Number 1972757052
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2008
Last updated 11/16/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 164.003794
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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