Provider Demographics
NPI:1124011671
Name:GIANG, QUOC TO AI (DC)
Entity Type:Individual
Prefix:DR
First Name:QUOC
Middle Name:TO AI
Last Name:GIANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 N KIRK RD STE 10
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-1606
Mailing Address - Country:US
Mailing Address - Phone:630-605-6323
Mailing Address - Fax:630-428-4305
Practice Address - Street 1:429 N KIRK RD STE 10
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-1606
Practice Address - Country:US
Practice Address - Phone:630-605-6323
Practice Address - Fax:630-428-4305
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009657111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
L98168Medicare ID - Type Unspecified
U94909Medicare UPIN