MEDICARE: KUANGWEI HUANG

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	183500000X	Pharmacist	051-290081	IL

General Provider Information

NPI Number	:	1043668734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KUANGWEI HUANG

Provider Business Mailing Address
First Line	:	1128 CHICAGO AVE
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-1351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1128 CHICAGO AVE
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-1351
Country	:	US
Telephone Number	:	847-869-3520
Fax Number	:

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

Provider Enumeration Date	:	06/02/2016
Last Update Date	:	06/02/2016

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Directions to “ KUANGWEI HUANG ” Practice Location

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