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NPI Code Detail

MEDICARE: CHIA HUANG MD

MEDICARE: CHIA HUANG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician036045227IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21616108OTHERILBCBS

General Provider Information

NPI Number : 1144227877
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIA HUANG MD
Provider Business Mailing Address
First Line : 855 MADISON ST
Second Line :
City : OAK PARK
State : IL
Zip : 60302-4420
Country : US
Telephone Number : 708-492-4077
Fax Number : 708-386-2839
Provider Business Practice Location Address
First Line : 2701 W 68TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-1813
Country : US
Telephone Number : 773-735-4884
Fax Number : 773-735-2625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/26/2013

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Directions to “ CHIA HUANG MD” Practice Location

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