Healthcare Provider Details

I. General information

NPI: 1952930661
Provider Name (Legal Business Name): CHERYL HOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2020
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 SOUTH ORANGE AVENUE MEDICAL SCIENCE BUILDING, ROOM G 594
NEWARK NJ
07103
US

IV. Provider business mailing address

1220 W JACKSON BLVD APT 501
CHICAGO IL
60607-3145
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-5018
  • Fax: 973-972-6591
Mailing address:
  • Phone: 732-216-5234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036175899
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: