YIRAN GONG

MAYWOOD, IL
NPI1942705967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.073117)
Enumeration Date2018-03-30
Last Update Date2018-06-18
Business Address
YIRAN GONG MD
2160 S 1ST AVE RM 7609
MAYWOOD, IL 60153
Phone number: 708-216-8757
Mailing Address
YIRAN GONG MD
7210 JACKSON BLVD APT F1
FOREST PARK, IL 60130-3226
Phone number: 918-549-0611
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