MEDICARE: 1 ON 1 MD PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1578736112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1 ON 1 MD PLLC

Provider Business Mailing Address
First Line	:	3302 N LINCOLN AVE UNIT 495
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1108
Country	:	US
Telephone Number	:	312-544-0200
Fax Number	:	312-544-0299

Provider Business Practice Location Address
First Line	:	1828 W WEBSTER AVE STE 450
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2916
Country	:	US
Telephone Number	:	312-544-0200
Fax Number	:	312-544-0299

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	LINDA HUANG
Credential	:	MD
Telephone Number	:	312-544-0200

Provider Enumeration Date	:	04/03/2008
Last Update Date	:	01/05/2026

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