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Contact Information

BENCHUAN GONG, M.D. (CHINA)
4921 N KIMBALL AVE
CHICAGO, IL60625-5110
 Phone: 773-583-2142
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for BENCHUAN GONG · (Male)

NPI # 1407284177
Status Active
Credentials M.D. (CHINA)
Entity Individual
Enumeration date 10/16/2013
Last updated 10/16/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 198001152
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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