Healthcare Provider Details

I. General information

NPI: 1326977497
Provider Name (Legal Business Name): MANHUA HUANG OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 FALCON DR
NAPERVILLE IL
60564-5757
US

IV. Provider business mailing address

3939 FALCON DR
NAPERVILLE IL
60564-5757
US

V. Phone/Fax

Practice location:
  • Phone: 312-730-5002
  • Fax:
Mailing address:
  • Phone: 312-730-5002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056016416
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: