Organization
RODRIGUE TINFANG MD FAMILY HEALTH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODRIGUE MEYOU TINFANG M.D (PRESIDENT)
(708) 977-0196
Entity
Organization
Contact information
Practice address
4909 W DIVISION ST, SUITE 503, CHICAGO, IL 60651-3161
(773) 626-8833
(773) 626-1635
Mailing address
4909 W DIVISION ST STE 503, CHICAGO, IL 60651-3161
(773) 626-8833
(773) 626-1635
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036114443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114443
—
IL
Enumeration date
02/23/2015
Last updated
09/09/2021
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