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NPI Code Detail

MEDICARE: CHUNPING HUANG NP

MEDICARE: CHUNPING HUANG NP
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
1363LF0000XFamily Nurse Practitioner209.028526IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558135004
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUNPING HUANG NP
Provider Business Mailing Address
First Line : 1239 W NORTH SHORE AVE APT 1E
Second Line :
City : CHICAGO
State : IL
Zip : 60626-4731
Country : US
Telephone Number : 312-978-7332
Fax Number :
Provider Business Practice Location Address
First Line : 2141 S TAN CT
Second Line :
City : CHICAGO
State : IL
Zip : 60616-1998
Country : US
Telephone Number : 312-791-0418
Fax Number : 312-815-7302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2023
Last Update Date : 11/14/2023

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Directions to “ CHUNPING HUANG NP” Practice Location

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