Individual
DR. ROBERT FONG II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5840 S MARYLAND AVE, MC4028, CHICAGO, IL 60637-1462
(773) 702-6700
Mailing address
9434 KOLMAR AVE, SKOKIE, IL 60076-1322
(773) 575-3602
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.056492
IL
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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