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NPI Code Detail

MEDICARE: DR. DAVID T HONG DPM

MEDICARE:  DR. DAVID T HONG  DPM
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
1213EP1101XPrimary Podiatric Medicine Podiatrist016003687IL
2213ES0131XFoot Surgery Podiatrist016003687IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
260001532OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1487677076
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID T HONG DPM
Provider Business Mailing Address
First Line : 180 W WASHINGTON ST
Second Line : SUITE 930
City : CHICAGO
State : IL
Zip : 60602-2301
Country : US
Telephone Number : 312-263-2443
Fax Number : 312-263-0441
Provider Business Practice Location Address
First Line : 180 W WASHINGTON ST
Second Line : SUITE 930
City : CHICAGO
State : IL
Zip : 60602-3580
Country : US
Telephone Number : 312-263-2443
Fax Number : 312-263-0441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/11/2014

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Directions to “ DR. DAVID T HONG DPM” Practice Location

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