Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036153965 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101260213 | VA |
NPI | 1134567134 |
---|---|
Provider Name | Vinh Quoc Chau |
First Address | Oak Lawn, IL 60453-2660 |
Second Address | Oak Lawn, IL 60453-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036153965 | (05) | IL |