Individual
MENGXUAN TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611
(312) 625-2478
Mailing address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 625-2478
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125071609
IL
Other
Enumeration date
04/30/2017
Last updated
12/29/2018
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