Provider Demographics
NPI:1447419940
Name:VO, HONG XUAN (MD)
Entity Type:Individual
Prefix:
First Name:HONG
Middle Name:XUAN
Last Name:VO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 W BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4127
Mailing Address - Country:US
Mailing Address - Phone:312-702-1313
Mailing Address - Fax:844-269-6602
Practice Address - Street 1:5425 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4127
Practice Address - Country:US
Practice Address - Phone:312-702-1313
Practice Address - Fax:844-269-6602
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036130509208VP0014X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036130509Medicaid