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Individual

DAVID CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1036 W STEPHENSON ST, FREEPORT, IL 61032-4865
(815) 599-6000
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4030
(815) 599-7958

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036068760
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036068760
IL
Enumeration date
02/15/2006
Last updated
10/19/2017
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