Healthcare Provider Details
I. General information
NPI: 1528324480
Provider Name (Legal Business Name): LING HUI M.D. PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/04/2012
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11109 PARKVIEW PLAZA DR
FORT WAYNE IN
46845-1701
US
IV. Provider business mailing address
4245 RELIABLE PKWY
CHICAGO IL
60686-0042
US
V. Phone/Fax
- Phone: 260-266-1000
- Fax:
- Phone: 260-266-1000
- Fax: 419-866-5453
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | 01080080A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: