Provider Demographics
NPI:1588625677
Name:HOANG, VU T (MD)
Entity Type:Individual
Prefix:
First Name:VU
Middle Name:T
Last Name:HOANG
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 1:2650 WARRENVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1748
Mailing Address - Country:US
Mailing Address - Phone:630-324-7900
Mailing Address - Fax:630-271-1813
Practice Address - Street 1:880 W CENTRAL RD
Practice Address - Street 2:SUITE 3300
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2355
Practice Address - Country:US
Practice Address - Phone:224-735-2937
Practice Address - Fax:224-735-3408
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01083962A208G00000X
IL036-131988208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0144617OtherL & I WORKERS COMP
IL036131988Medicaid
WA780001782OtherRAILROAD MEDICARE
WA8256463Medicaid
WA3338HOOtherREGENCE BLUESHIELD RIDER
ILF400151005Medicare PIN
ILF400151006Medicare PIN
ILF400151007Medicare PIN
WA780001782OtherRAILROAD MEDICARE
ILIL8426Medicare PIN