Individual
DR. JONATHAN HWA FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 WAUKEGAN RD, GLENVIEW, IL 60025-4315
(331) 229-8839
Mailing address
900 WAUKEGAN RD, GLENVIEW, IL 60025-4315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB955401
IL
106S00000X
Behavior Technician
—
—
207Q00000X
Family Medicine Physician
125-059715
IL
Other
Enumeration date
06/29/2011
Last updated
07/12/2023
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