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1851516660
KENNETH HONG GONG
CHICAGO, IL
NPI
1851516660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036106356)
Enumeration Date
2007-04-16
Last Update Date
2021-12-12
Business Address
KENNETH HONG GONG MD
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640-4510
Phone number: 773-561-7500
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Mailing Address
KENNETH HONG GONG MD
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640-4510
Phone number: 773-561-7500
Copy
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