Organization
TONY FU MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY S FU MD (PRESIDENT)
(847) 328-3913
Entity
Organization
Contact information
Practice address
636 CHURCH ST STE 222, EVANSTON, IL 60201
(847) 328-3913
(847) 328-3952
Mailing address
636 CHURCH ST STE 222, EVANSTON, IL 60201
(847) 328-3913
(847) 328-3952
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3648697
IL
207ND0900X
Dermatopathology Physician
3648697
IL
207NS0135X
Procedural Dermatology Physician
3648697
IL
Other
Enumeration date
11/28/2006
Last updated
12/14/2007
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