Individual
DR. EUDORA ENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 E HURON ST, LAKESIDE VETERANS ADMINISTRATION CLINIC, CHICAGO, IL 60611-3004
(312) 469-3374
Mailing address
303 E CHICAGO AVE, TARRY 4-701, CHICAGO, IL 60611-3093
(312) 908-8083
(312) 503-0622
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E76394
—
IL
Enumeration date
09/28/2006
Last updated
07/08/2007
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