Provider Demographics
NPI:1780962720
Name:NGAN, JIN-HONG (L AC)
Entity type:Individual
Prefix:MISS
First Name:JIN-HONG
Middle Name:
Last Name:NGAN
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 W MONROE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-2457
Mailing Address - Country:US
Mailing Address - Phone:773-592-4559
Mailing Address - Fax:
Practice Address - Street 1:1526 W MONROE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-2457
Practice Address - Country:US
Practice Address - Phone:773-592-4559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000538171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist