Individual
DR. TONY S. FU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
636 CHURCH ST STE 222, EVANSTON, IL 60201-4578
(847) 328-3913
(847) 328-3952
Mailing address
636 CHURCH ST STE 222, EVANSTON, IL 60201-4578
(847) 328-3913
(847) 328-3952
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3648697
IL
207ND0900X
Dermatopathology Physician
3648697
IL
207NS0135X
Procedural Dermatology Physician
3648697
IL
Other
Enumeration date
11/15/2006
Last updated
12/18/2007
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