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1235716952
MICHAEL SHIFENG GONG
MAYWOOD, IL
NPI
1235716952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125077748)
Enumeration Date
2021-03-27
Last Update Date
2021-06-17
Business Address
MICHAEL SHIFENG GONG MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888
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Mailing Address
MICHAEL SHIFENG GONG MD
2160 S. 1ST. AVENUE,
MAYWOOD, IL 60153
Phone number: 888-584-7888
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