Individual
DR. HENRY Y FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1590 WEATHERSTONE LN, ELGIN, IL 60123-2059
(847) 695-7992
(847) 695-5789
Mailing address
1590 WEATHERSTONE LN, ELGIN, IL 60123-2059
(847) 695-7992
(847) 695-5789
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36-51626
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051626
—
IL
Enumeration date
10/04/2006
Last updated
12/31/2021
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