Individual
MR. HUP MAN PANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
254 W 31ST ST, CHICAGO, IL 60616-4494
(312) 225-7970
(312) 225-7522
Mailing address
PO BOX 166152, 254 W 31ST ST, CHICAGO, IL 60616-6152
(312) 225-7970
(312) 225-7522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003227
—
IL
Enumeration date
11/17/2005
Last updated
07/08/2007
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