Individual
CHIA HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 735-4884
(773) 735-2625
Mailing address
855 MADISON ST, OAK PARK, IL 60302-4420
(708) 492-4077
(708) 386-2839
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036045227
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045227
—
IL
01
—
1616108
BCBS
IL
Enumeration date
07/07/2005
Last updated
07/26/2013
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