YIRAN GONG

MAYWOOD, IL
NPI1942705967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL  036171093)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125.073117)
Enumeration Date2018-03-30
Last Update Date2024-07-12
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