Gong, John H.

Gong, John H. is an individual health care provider with primary practice located at 900 W Il Route 22 Ste 100 , Lake Zurich IL 60047-3416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gong, John H. can be contacted via phone (847) 462-1700.

Contact Information

Primary practice address
900 W Il Route 22 Ste 100 Lake Zurich IL 60047-3416
Phone: (847) 462-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-089072 Illinois

Profile Details

NPI number 1962414623
LBN Legal business name Gong, John H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jun 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962414623 NPPES
Illinois Other 036089072 STATE LICENSE
Illinois MEDICAID 036089072 STATE LICENSE

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