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NPI Code Detail

MEDICARE: MISS SIU MUI CARMAN CHENG

MEDICARE:  MISS SIU MUI CARMAN CHENG
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
1133VN1006XMetabolic Nutrition Registered Dietitian164004507IL

General Provider Information

NPI Number : 1922238989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SIU MUI CARMAN CHENG
Provider Business Mailing Address
First Line : 2850 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-5018
Country : US
Telephone Number : 312-949-2129
Fax Number : 312-225-6324
Provider Business Practice Location Address
First Line : 2850 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-5018
Country : US
Telephone Number : 312-949-2129
Fax Number : 312-225-6324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2009
Last Update Date : 07/23/2009

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Directions to “ MISS SIU MUI CARMAN CHENG ” Practice Location

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