MEDICARE: DR. TONY S. FU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	3648697	IL
2	207ND0900X	Dermatopathology Physician	3648697	IL
3	207NS0135X	Procedural Dermatology Physician	3648697	IL

General Provider Information

NPI Number	:	1043383524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY S. FU M.D.

Provider Business Mailing Address
First Line	:	636 CHURCH ST STE 222
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-4578
Country	:	US
Telephone Number	:	847-328-3913
Fax Number	:	847-328-3952

Provider Business Practice Location Address
First Line	:	636 CHURCH ST STE 222
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-4578
Country	:	US
Telephone Number	:	847-328-3913
Fax Number	:	847-328-3952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	12/18/2007

Similar Medicare Providers

1871718452 — FISCHL DENTAL ASSOCIATES, P.C.
Practice Location Address:

636 CHURCH STREET , SUITE 200W
EVANSTON, IL
60201-4578

Practice Phone: 847-864-0822
Practice Fax: 847-864-9799

1053544759 — TRACI A KURTZER MD SC
Practice Location Address:

636 CHURCH ST STE 217
EVANSTON, IL
60201-4578

Practice Phone: 847-328-0238
Practice Fax:

1578185716 — AMINAT YEWANDE OSUJI DDS
Practice Location Address:

636 CHURCH ST STE 200W
EVANSTON, IL
60201-4578

Practice Phone: 847-448-1684
Practice Fax:

1679281455 — DR. OSUJI DENTAL, PLLC
Practice Location Address:

636 CHURCH ST STE 200W
EVANSTON, IL
60201-4578

Practice Phone: 847-448-1684
Practice Fax:

1437380102 — DR. ADAM D ASARCH M.D.
Practice Location Address:

2525 E PARIS AVE SE STE 100
GRAND RAPIDS, MI
49546-6191

Practice Phone: 616-678-2070
Practice Fax: 616-941-4578

1922159458 — ELIZABETH F. MASTEN MD & A.ROBERT MASTEN MD PA
Practice Location Address:

509 LAKEVIEW AVE
MILFORD, DE
19963-2917

Practice Phone: 302-422-4581
Practice Fax: 302-424-4511

Directions to “ DR. TONY S. FU M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.