Provider Demographics
NPI:1104439090
Name:HUYNH, TUONG VAN (PHARMD)
Entity type:Individual
Prefix:
First Name:TUONG
Middle Name:VAN
Last Name:HUYNH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 IRVING PARK RD
Mailing Address - Street 2:
Mailing Address - City:SCHILLER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60176-1448
Mailing Address - Country:US
Mailing Address - Phone:847-233-0576
Mailing Address - Fax:
Practice Address - Street 1:9800 IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:SCHILLER PARK
Practice Address - State:IL
Practice Address - Zip Code:60176-1448
Practice Address - Country:US
Practice Address - Phone:847-233-0576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.302235183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist