Individual
DR. CHARLES L HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 E BELVIDERE RD, SUITE 200, GRAYSLAKE, IL 60030-2082
(847) 535-7480
Mailing address
1275 E BELVIDERE RD, SUITE 200, GRAYSLAKE, IL 60030-2082
(847) 535-7480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036111898
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111898
—
IL
01
—
04915656
BLUE SHIELD
IL
01
—
336074439
CONTROLL SUBSTANCE
IL
01
—
P00255544
RR MEDICARE
IL
Enumeration date
09/21/2006
Last updated
03/07/2023
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