Healthcare Provider Details

I. General information

NPI: 1033259205
Provider Name (Legal Business Name): HELEN FERNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 REMINGTON BLVD SUITE 200
BOLINGBROOK IL
60440-5114
US

IV. Provider business mailing address

1000 REMINGTON BLVD SUITE 200
BOLINGBROOK IL
60440-5114
US

V. Phone/Fax

Practice location:
  • Phone: 630-312-7755
  • Fax: 630-856-9933
Mailing address:
  • Phone: 630-312-7755
  • Fax: 630-856-9933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036124969
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036124969
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: