Individual
JONATHAN HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 DAKOTA ST, SUITE A, CRYSTAL LAKE, IL 60012-3744
(815) 455-6000
(815) 356-3914
Mailing address
650 DAKOTA ST, SUITE A, CRYSTAL LAKE, IL 60012-3744
(815) 455-6000
(815) 356-3914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036136651
IL
207R00000X
Internal Medicine Physician
57.021303
OH
207R00000X
Internal Medicine Physician
DR.0058523
CO
Other
Enumeration date
03/23/2012
Last updated
10/09/2017
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