Organization
HORNG-YANG FANG MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY FANG MD (PRESIDENT)
(847) 695-7992
Entity
Organization
Contact information
Practice address
1590 WEATHERSTONE LN, ELGIN, IL 60123-2059
(847) 695-7992
(847) 695-5789
Mailing address
1590 WEATHERSTONE LN, ELGIN, IL 60123-2059
(847) 695-7992
(847) 695-5789
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3651626
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061626
—
IL
Enumeration date
02/26/2016
Last updated
02/26/2016
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