Provider Demographics
NPI:1801876057
Name:DUONG, CHRISTINE M (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:M
Last Name:DUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:600 N NORTH CT
Mailing Address - Street 2:SUITE 115
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-8155
Mailing Address - Country:US
Mailing Address - Phone:847-359-5000
Mailing Address - Fax:847-359-5395
Practice Address - Street 1:600 N NORTH CT
Practice Address - Street 2:SUITE 115
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-8155
Practice Address - Country:US
Practice Address - Phone:847-359-5000
Practice Address - Fax:847-359-5395
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-21
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036100887208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01632111OtherBCBS
IL036100887Medicaid
IL7469361OtherAETNA