MEDICARE: FRANCES TUNG

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	103TC0700X	Clinical Psychologist	071007568	IL

General Provider Information

NPI Number	:	1174042147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCES TUNG

Provider Business Mailing Address
First Line	:	1200 W 35TH ST STE 5B5220
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-1305
Country	:	US
Telephone Number	:	773-565-4803
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 W 35TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-1305
Country	:	US
Telephone Number	:	773-565-4803
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST
Name	:	DR. FRANCES TUNG
Credential	:	PH.D.
Telephone Number	:	773-565-4803

Provider Enumeration Date	:	09/11/2017
Last Update Date	:	09/11/2017

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Directions to “FRANCES TUNG ” Practice Location

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