Individual
KEVIN FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 S WOOD ST STE 100, CHICAGO, IL 60612-4325
(866) 735-1912
Mailing address
820 S WOOD ST STE 100, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
125.085809
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2025
Last updated
06/17/2025
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