Individual
MICHAEL FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6975
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6975
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009445
IL
103TC1900X
Counseling Psychologist
3420-57
WI
Other
Enumeration date
03/03/2016
Last updated
12/07/2016
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