Individual
MR. DENNIS FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
215 N CONVENT ST, SUITE 6, BOURBONNAIS, IL 60914-5600
(815) 928-8357
(815) 929-0492
Mailing address
201 27TH AVE, BROOKLYN, NY 11214-6703
(212) 729-1112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.016852
IL
Other
Enumeration date
01/29/2010
Last updated
01/24/2011
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