NATHAN BOUNYONG

CHICAGO, IL
NPI1114580115
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036.161773)
Enumeration Date2019-04-16
Last Update Date2022-09-07
Business Address
NATHAN BOUNYONG DO
5145 N CALIFORNIA AVE
CHICAGO, IL 60625-3687
Phone number: 773-989-3808
Mailing Address
NATHAN BOUNYONG DO
5145 N CALIFORNIA AVE
CHICAGO, IL 60625-3687
Phone number: 773-989-3808
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