Healthcare Provider Details

I. General information

NPI: 1407975469
Provider Name (Legal Business Name): HONG ZHANG FRANKEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 THATCHER TRL
WEST DUNDEE IL
60118-3509
US

IV. Provider business mailing address

1114 THATCHER TRL
WEST DUNDEE IL
60118-3509
US

V. Phone/Fax

Practice location:
  • Phone: 847-844-8238
  • Fax: 847-551-1240
Mailing address:
  • Phone: 847-844-8238
  • Fax: 847-551-1240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number36-099394
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: