Healthcare Provider Details

I. General information

NPI: 1790985349
Provider Name (Legal Business Name): KUN PENG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAVID K PENG MD

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SPALDING DR STE 308
NAPERVILLE IL
60540
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 630-527-7730
  • Fax: 630-527-7732
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number036-143706
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036143706
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: