; NPI #1972757052

Contact Information

PHUONG H NAKAMURA

1775 DEMPSTER ST
PARK RIDGE, IL 60068-1143

Phone: 847-723-6137
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for

NPI # 1972757052

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 11/16/2008

Last updated 11/16/2008 - About 18 years ago

Identifiers

License #

164.003794

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Children

NPI Profile & details for

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