IndividualActive
Edward Gong, M.D.
NPI 1457675233 · Pediatric Urology Physician · Chicago, IL
Provider details
- NPI number
- 1457675233
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 236351 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
225 E Chicago Ave
Box 24
Chicago, IL 60611-2991
Phone: (312) 227-6340
Fax: (312) 227-9412
Approximate (ZIP-level) locationGet directions
Mailing address
225 E Chicago Ave
Chicago, IL 60611-2991
Registry dates
- Enumerated
- 2010-03-23
- Last updated
- 2016-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.