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NPI Code Detail

MEDICARE: HING CHEONG FUNG

MEDICARE: HING CHEONG FUNG
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
1183500000XPharmacist054013387IL

General Provider Information

NPI Number : 1982797452
Entity Type Code : Organization
Provider Name (Legal Business Name) : HING CHEONG FUNG
Provider Business Mailing Address
First Line : 3624 WEST DIVISION STREET
Second Line :
City : CHICAGO
State : IL
Zip : 60651
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3624 WEST DIVISION STREET
Second Line :
City : CHICAGO
State : IL
Zip : 60651
Country : US
Telephone Number : 773-235-0259
Fax Number : 773-486-1279
Authorized Official
Title or Position : MANAGER OWNER
Name : MR. HING CHEONG FUNG
Credential : PHARMACIST IN CHARGE
Telephone Number : 773-235-0259
Provider Enumeration Date : 10/02/2006
Last Update Date : 06/27/2008

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Directions to “HING CHEONG FUNG ” Practice Location

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