MEDICARE: MRS. FRANCES QING FENG MS,RD,LDN

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	133V00000X	Registered Dietitian		IL

General Provider Information

NPI Number	:	1639285604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCES QING FENG MS,RD,LDN

Provider Business Mailing Address
First Line	:	23548 N ELM RD
Second Line	:
City	:	LINCOLNSHIRE
State	:	IL
Zip	:	60069-2200
Country	:	US
Telephone Number	:	847-721-1041
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 BUTTERFIELD RD
Second Line	:	SUITE 1007
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1312
Country	:	US
Telephone Number	:	847-968-5511
Fax Number	:

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/08/2007

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