Provider Demographics
NPI:1518058346
Name:VU, DANNY KHAI (MD)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:KHAI
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 N GREENLEAF ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3393
Mailing Address - Country:US
Mailing Address - Phone:847-244-7223
Mailing Address - Fax:847-244-7247
Practice Address - Street 1:135 N GREENLEAF ST
Practice Address - Street 2:SUITE 100
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3393
Practice Address - Country:US
Practice Address - Phone:847-244-7223
Practice Address - Fax:847-244-7247
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1902913403OtherNPI GROUP NUMBER
IL1902913403OtherNPI GROUP NUMBER
IL333770Medicare ID - Type UnspecifiedGROUP NUMBER
ILL87764Medicare PIN