Individual
DORIS SHUWEN HUANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5130 W JACKSON BLVD, CHICAGO, IL 60644-4332
(773) 921-8000
Mailing address
PO BOX 7513, CHICAGO, IL 60680-7513
(312) 925-7013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209003913
IL
363LF0000X
Family Nurse Practitioner
209-003913
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400145113
MEDICARE PTA
IL
Enumeration date
01/23/2007
Last updated
10/03/2022
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